Revenue Cycle Management

Payment Posting & Charge Entry

Accurate recording of charges, payments, adjustments, and patient responsibility — ensuring financial integrity, clean accounts, and faster claim reconciliation.

Overview

Payment Posting and Charge Entry are essential revenue cycle functions that ensure accurate recording of charges, payments, adjustments, and patient responsibility. Proper handling of both Manual Posting and ERA (Electronic Remittance Advice) Posting ensures financial accuracy, supports denial management, and maintains the integrity of patient accounts.

Objectives

  • Ensure accurate capture of charges and payments
  • Reconcile payer reimbursements with billed amounts
  • Identify underpayments, overpayments, and denials promptly
  • Maintain clean patient accounts and financial transparency
  • Support faster and accurate claim reconciliation
Charge Entry

Charge Capture & Validation

Ensuring every charge is accurately entered, validated, and aligned with payer and compliance guidelines.

Charge Capture & Validation

  • Enter charges based on provider documentation and encounter details
  • Validate CPT, HCPCS, ICD-10, and modifier accuracy
  • Confirm place of service, date of service, and provider details
  • Ensure charges align with payer and compliance guidelines

Charge Review & Correction

  • Identify missing or duplicate charges
  • Correct coding or demographic discrepancies
  • Coordinate with coding and clinical teams for clarifications
Payment Posting

Accurate Payment Recording

Comprehensive manual and electronic remittance posting to ensure every dollar is accurately accounted for.

Manual Payment Posting

Paper EOBs, Checks & Portals
  • Post payments received via paper EOBs, checks, or portals
  • Allocate payments accurately to corresponding claims and service lines
  • Apply contractual adjustments, write-offs, and patient balances
  • Identify partial payments, denials, or zero-pay EOBs

ERA Posting

Electronic Remittance Advice (835)
  • Post payments automatically using ERA files (835 transactions)
  • Reconcile ERA data with claims submitted
  • Validate payer payments, adjustments, and remark codes
  • Flag exceptions, variances, or posting errors for review

Adjustment & Balance Management

Apply contractual and non-contractual adjustments accurately
Identify underpayments and initiate follow-up or appeals
Transfer patient responsibility balances appropriately
Manage refunds and overpayment scenarios
Tools & Systems

Technology & Platforms

Leveraging industry-leading systems for accurate charge entry and payment posting.

Practice Management

PM Systems

Electronic Health Records

EHR Integration

Clearinghouses

ERA Platforms

Payer Portals

EOB Repositories

Compliance

Compliance & Accuracy Standards

Maintaining the highest standards of financial accuracy and regulatory compliance.

HIPAA Compliance

Adherence to HIPAA and financial compliance requirements

Line-Item Accuracy

Accurate posting at line-item and claim level for every transaction

Timely Posting

Timely posting to maintain aging accuracy and clean AR

Audit-Ready

Audit-ready documentation and reconciliation logs

Business Impact

Impact on Revenue Cycle & Reporting

Driving measurable improvements across the entire revenue cycle.

01

Cash Posting Accuracy

Improved cash posting accuracy and reconciliation for reliable financial records.

02

Faster Identification

Faster identification of denials and underpayments for proactive follow-up.

03

Clean AR Aging

Clean AR aging and accurate financial reporting for informed decision-making.

04

Reduced Rework

Reduced rework and downstream billing issues that impact revenue integrity.

Ensure Revenue Integrity with Expert Posting

Payment Posting & Charge Entry, including both Manual and ERA posting, ensure revenue integrity and support effective AR follow-up and financial reporting.

Get Started Today Request Free Assessment