Synopsis
Inaccurate or delayed charge entry is one of the leading causes of revenue leakage in healthcare organizations. When clinical services are not properly documented, coded, or audited, it can result in missed charges, billing delays, claim denials, or even compliance violations.
At Orgusta Healthcare, we offer end-to-end Charge Entry and Charge Audit Services that integrate seamlessly into your revenue cycle operations. Our team of experienced professionals ensures every clinical service is captured, validated, and billed accurately the first time—improving cash flow, minimizing compliance risk, and enhancing the overall financial performance of your practice or facility.
Benefits of Orgusta’s Charge Entry & Audit Services
✅ Boost Financial Accuracy - Ensure every clinical encounter is captured and billed properly—avoiding undercharges, overbilling, and claim denials.
✅ Minimize Revenue Leakage - Routine charge audits help identify systemic issues and recover lost revenue before it impacts your bottom line.
✅ Improve Compliance - Accurate charge documentation and audits protect you from legal liabilities and payer audits.
✅ Enhance Workflow Efficiency - Automated escalation, centralized communication, and client portals allow for faster resolution of charge discrepancies and provider queries.
✅ Accelerate Cash Flow - Fewer errors mean faster billing cycles, reduced denials, and improved collections.
Orgusta’s Value Proposition
📈 Maximize Reimbursement – Fewer missed charges, faster AR turnaround.
⚖️ Reduce Compliance Risks – Audit-ready charge documentation.
🔄 Seamless Integration – Works with Epic, Cerner, Meditech, and more.
💡 Proactive Denial Prevention – Fix errors before claims are submitted.
EDI Enrollment Services
Accelerate Claims, Remittance, and Eligibility with Seamless EDI Integration
Overview
Electronic Data Interchange (EDI) is vital to the modern revenue cycle—offering secure, real-time, and standardized electronic transactions between providers and payers. However, the EDI enrollment process can be complex, especially in organizations using fragmented systems or legacy infrastructure.
At Orgusta Healthcare, we streamline your EDI onboarding by handling all aspects of enrollment for Electronic Claims Submission, Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), Eligibility Verification, and Claims Status Inquiry. Our EDI experts reduce administrative burden, eliminate delays, and help you achieve quicker reimbursements by connecting your practice or facility to multiple payers and clearinghouses—securely and efficiently.
Our EDI Enrollment Services Include:
✅ Payer & Clearinghouse Enrollment – Complete ERA/EFT authorization for all providers.
✅ Form Completion & Submission – Gathering required details and submitting documentation.
✅ Testing & Integration Support – Ensuring smooth EDI connectivity with your PMS/EHR.
✅ Compliance & Security Review – Meeting HIPAA, CMS, and payer requirements.
✅ Ongoing EDI Maintenance – Troubleshooting and optimizing electronic transactions.
Key Benefits of EDI Enrollment
✅ Faster Claims Submissions & Payments -Reduce paper processes and eliminate mailing delays with real-time EDI transactions that enable same-day or next-day claim submissions and reimbursements.
✅ Real-Time Claim Tracking - Access up-to-date information on claim and remittance statuses, making it easier to track payment timelines, reduce AR days, and resolve denials quickly.
✅ Streamlined Administration - Minimize manual data entry and human errors through automated data flow—saving staff time while boosting transaction accuracy and compliance.
✅ Error Prevention & Reconciliation - Built-in validation processes help prevent rejected claims by catching data mismatches or missing fields before submission.
✅ Multi-Payer Connectivity - Connect to all major payers and clearinghouses through a single platform—eliminating the need for redundant workflows.