Charge Entry Services

Charge entry services

Charge entry is where the coded encounter becomes a billable claim line: the right codes, units, modifiers, dates, place of service, rendering and billing providers, and fee schedule price, entered in your practice management system.

See where claims are getting stuck. No patient data needed.

We enter charges from the coded encounter, reconcile them against the schedule so no visit goes unbilled, and fix what the scrubber catches before anything goes out.

This is part of getting the claim out clean. Buy it on its own or pair it with our other billing services, stage by stage.

Last reviewed October 21, 2026 by the Remitwright billing team. Editorial policy

What charge entry covers

Charges entered from signed, coded encounters, with the date of service and rendering provider checked against the note

Visits seen reconciled against charges entered, so missed encounters, unsigned notes and unbilled procedures are found before they age

Correct rendering, supervising and billing provider on every line, including incident-to and split/shared rules where they apply

Place of service, date span, units and modifiers checked against the note and the payer's rules

Fee schedule maintained so every charge carries the right price and contracted allowables can be compared later

Surgical and procedure charges built with global period tracking, so post-operative visits are not billed separately in error

Charge lag measured and reported by provider and location

Lag and missed-charge findings fed back to the clinicians and the front desk

What goes wrong when charge entry is skipped

The unsigned notes

A clinician has forty unsigned notes from last month. Nothing can be billed from them. Nobody counts them until the month closes, and the oldest are now close to a ninety-day filing limit. Reconciling visits against charges would have shown the pile while it was still small.

The procedure that was done but not charged

An in-office injection is documented in the note but not on the superbill. The E/M is billed; the injection and the drug are not. Multiply that by a year.

The wrong provider on the line

A nurse practitioner's visit is billed under the supervising physician without the incident-to conditions being met. It pays at the physician rate, which looks fine until the audit.

How we run charge entry

Reconcile

The schedule is matched against the charges entered. Gaps go on a list: unsigned, uncoded, missed.

Enter

Charges keyed or reviewed in your PM system from the coded encounter, with provider, place of service, units and modifiers checked.

Scrub

Charges run through the PM and clearinghouse edits before batching. Edits are fixed by the biller; documentation issues go back to the clinician as queries.

Close

Charge lag and missed-charge counts go on the weekly report, with a close-out check that every visit has a charge or a documented reason it does not.

What you receive every week

Reconciliation list

Visits without charges, with the reason and the person who owns the fix.

Charge lag by provider

Days from date of service to charge entry, by provider and location, so you can see where documentation is the bottleneck.

Weekly line in your report

Charges entered, charge value, visits reconciled, visits missing a charge.

Worked example: the missed drug

A hypothetical allergy practice gives injections at most visits. Reconciliation shows that on Tuesdays, when a part-time nurse covers, the J-code and the administration charge are missing from about half the encounters. The fix is a change to the nurse's charge-capture template and a check of the next few Tuesday encounters. Nothing about it was a billing problem; it was a workflow problem that only showed up in the reconciliation.

Questions about charge entry

Our EHR sends charges automatically. Why would we need charge entry?

Automatic charge capture still needs reconciliation: unsigned notes, procedures documented but not captured, wrong provider, wrong place of service. We check what the system sent against what happened, and fix the gaps before the claim goes out.

When are charges entered?

Once the note is signed and coded. The lag that matters is usually before that: how long notes stay unsigned, which is why charge lag is measured from the date of service and shown by provider.

Do you enter charges from superbills?

Yes, if that is how your practice works today. We will also tell you where the superbill is losing you charges and help you move to electronic capture if you want to.

What is charge lag and why do you measure it?

Charge lag is the number of days between the service and the charge being entered. Long lag means late claims, filing-limit risk and cash that arrives weeks later than it should. Measuring it by provider shows where the delay is.

Can you maintain our fee schedule?

Yes. We keep your charge master current and load contracted allowables by payer so posting can check what you were paid against what the contract says.

Can we outsource charge entry and keep coding in-house?

Yes. Many practices keep the clinician or an in-house coder on the codes and hand the entry, the reconciliation against the schedule and fee schedule maintenance to a dedicated biller. The split is written into the scope so both sides know where a charge stops being yours and starts being ours.