Change Healthcare Artificial Intelligence Rewrites the Rules of Charge Capture
16 September 2019 - 3:00PM
Business Wire
New Charge Capture Advisor uses AI to help
optimize revenue and accelerate cash by flagging missing charges to
enable a more complete claim
AHIMA booth 904—Change Healthcare (Nasdaq: CHNG) today
introduced Charge Capture Advisor, a new cloud-based addition to
the company’s portfolio of Revenue Integrity Solutions. The
solution uses Change Healthcare Artificial Intelligence to identify
potentially missing charges for services that providers actually
performed before claims are submitted. The result: more complete
capture of services rendered without additional time and effort by
hospital revenue integrity teams. Working alongside providers’
existing health information system (HIS), coding, billing, and
manual processes as part of a comprehensive charge-capture
strategy, Charge Capture Advisor brings the power of AI to help
increase detection of missing charges to drive complete claims,
accelerate cash flow, and optimize revenue.
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“Providers are still falling short of their charge-capture
potential, despite using the most sophisticated rules-based systems
and meticulous manual audits,” said Nick Giannasi, Ph.D., executive
vice president and chief AI officer, Change Healthcare. “In fact,
it’s estimated that missing charges and associated reimbursement,
combined with audit and recovery efforts, cost providers the
equivalent of 1% of annual revenue¹. Charge Capture Advisor can
help providers identify those missed charges and help improve
revenue capture.”
Change Healthcare’s AI for charge capture is trained on more
than 500 million service lines and 180 million unique,
de-identified claims that touch $245 billion in charges. This
industry-leading volume of data allows the AI model to provide more
accurate charge capture predictions. Moreover, Charge Capture
Advisor requires no integration with existing software, freeing the
IT department to focus on its core responsibilities. Missing charge
predictions are accessed in real time in the claim workflow,
helping ensure claim completeness at each level.
Charge Capture Advisor is easy to use. Users can accept the AI’s
predicted charges if appropriate documentation is available,
dismiss a predicted charge, or place a predicted charge on hold
until research and review of relevant documentation can be
completed. Managers can access real-time insights into charge
capture trends—including the number of missing charges and
estimated charge value—so they can continually review, analyze,
drive root-cause analysis, and make improvements to charge
rules.
Change Healthcare’s Intelligent Healthcare Network™ includes
more than 2,200 payers, 5,500 hospitals/health systems, and 900,000
physicians; and the associated claims data powers AI-infused
solutions that transform the accuracy and efficiency of revenue
cycle processes. Charge Capture Advisor is part of Change
Healthcare’s Revenue Integrity solutions, which also include
Physician and Hospital Coding Services, Coding Quality and Audit
Services, Charge Capture Compliance Audit Services, and Clinical
Documentation Improvement Services.
Change Healthcare Charge Capture Advisor is available now.
Providers interested in more information can visit the Charge
Capture Advisor resource page, or visit us at AHIMA in Chicago
September 15-17 in Booth # 904.
For more information on Change Healthcare, please visit our
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About Change Healthcare
Change Healthcare (Nasdaq: CHNG) is a leading independent
healthcare technology company that provides data and
analytics-driven solutions to improve clinical, financial and
patient engagement outcomes in the U.S. healthcare system. We are a
key catalyst of a value-based healthcare system, accelerating the
journey toward improved lives and healthier communities. Learn more
at changehealthcare.com.
¹ Smith, Cathy. Capturing All Charges: The Operational Reality.
HFMA blog, Jan. 21, 2016.
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Change Healthcare Kerry Kelly External Communications
339-236-2756 kerry.kelly@changehealthcare.com
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