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AI Capability · Charge Capture Automation
Charge capture automation for revenue cycle teams.
Charge capture automation reads clinical documentation, surgical schedules, and procedure logs to identify billable services that did not make it to the billing queue. Missed charges average 1-3% of net patient service revenue at most hospital and physician groups (HFMA). At scale, that is millions per year.
The charge leakage numbers that matter.
Coders code what they see. Billers bill what coders coded. Nobody hunts for the procedure that happened in the OR but never made it onto a claim. That hunt is the whole product.
1-3%
Of net patient service revenue lost to missed charges
Source: HFMA
1-2%
Of net revenue recoverable from ASC supply chargemaster reconciliation alone
Most surgical centers
3
Data feeds reconciled: OR schedule, EHR orders, billing claim feed
Every encounter crossed 3 ways
100%
Of case logs reconciled against claims, every client, every month
Discipline of the monthly close
$-ranked
Every gap scored and queued by dollar value before human review
Highest-dollar gaps first
Inside the charge reconciliation workbench.
The view your revenue integrity team works from: encounter-to-charge match rates by department, a missing-charge exception queue ranked by dollar value, late-charge aging, and a full audit trail from gap detected to charge posted.
● aisuite.asprcm.com/charge-capture
M-03 NIGHTLY RECON
Encounters Reconciled
412
Last nightly run
Matched to Charge
396
3-feed cross-check clean
Open Exceptions
16
Ranked by dollar value
Aged > 7 Days
4
Escalated to revenue integrity
Missing-charge exception queueRanked by est. value
Arthroscopy, knee
ENC-88214 · implant charge absent
29881
Operating Room
2d
MISSING
Infusion, 2nd hour
ENC-88109 · add-on hours unbilled
96366
Infusion Center
1d
MISSING
ED visit, high acuity
ENC-87995 · facility level low
99285
Emergency Dept
3d
UNDERCODED
Observation hours
ENC-87910 · 14 hrs documented
G0378
Observation
1d
POSTED
IV start, ancillary
ENC-87844 · supply charge verified
36415
Med-Surg
0d
MATCHED
Match rate by departmentNightly run
EMERGENCY DEPT98%
MED-SURG97%
OPERATING ROOM93%
INFUSION CENTER91%
OBSERVATION88%
Audit trail · ENC-88214Full chain
02:14Gap detected: implant logged in case record, no matching charge line
08:05Queued for revenue integrity review, dollar-ranked #1
09:31Charge posted after coder validation; claim routed to rebill
09:32Root cause logged for next-month coder briefing
Late charges · 0-3 days
9
Inside normal posting window
4-7 days
3
Coder review in progress
8-14 days
3
Escalated to revenue integrity
Over 14 days
1
Timely-filing risk flagged
Illustrative console data · anonymized · no client information shown
Activity to claim, four steps.
The reconciliation runs every night. The loop-closing runs every month. That second part is what pure-play charge capture tools skip.
Step 01
Ingest three feeds
OR schedule and case logs, EHR procedure and order records, and the billing system claim feed. Every encounter is crossed against all three, whatever the EHR export structure.
Step 02
Reconcile and flag
Activity that has no matching charge line surfaces as an exception: unbilled procedures, undercoded encounters, missed supply charges, and unbilled ancillary hours.
Step 03
Rank by dollar value
AI scoring puts the highest-dollar gaps in front of human reviewers first. A coder validates, the charge posts, and the claim routes to rebill with the audit trail attached.
Step 04
Close the loop
Every confirmed gap gets a root cause, and root causes feed the next-month coder briefing. The same gap does not repeat the following month.
What changes for your team.
Our charge capture review runs as a discipline of the monthly close, not a separate vendor tool. Pure-play vendors find the gap; we find the gap and close the workflow that created it.
Before automation
- Missed charges surface only when a spot audit happens to catch them, months after the service date.
- OR case logs and billed claims live in different systems that nobody reconciles line by line.
- Late charges age silently until they hit timely-filing limits and become permanent write-offs.
- Undercoded ED facility levels repeat every month because no one traces them to a root cause.
- ABA groups lose revenue to expired authorization units, invisible to CPT-level review.
After automation
- Nightly reconciliation flags the gap within a day of the encounter, while rebilling is still clean.
- Three feeds cross-checked on every encounter: schedule, clinical record, claim.
- Late-charge aging is visible daily, with timely-filing risk flagged before the deadline.
- Root causes feed the coder briefing, so the fix lands in workflow, not just on one claim.
- For ABA, the leak is authorization units, so we pair this with prior authorization automation that meters 97153 units per BCBA-supervised authorization.
Charge capture automation ships as part of the ASP-RCM AI Suite and pairs naturally with HCC coding AI and denial prevention AI in hospital RCM. Want the leak measured first? Request a free RCM audit.
Frequently asked questions: charge capture automation.
How charge capture automation actually works
Charge capture platforms ingest three data feeds: (1) the OR schedule and case logs, (2) the EHR procedure and order records, (3) the billing system claim feed. The platform reconciles activity against billing and surfaces unbilled procedures, undercoded encounters, and missed supply charges. AI scoring prioritizes the highest-dollar gaps for human review.
Where it works well
Hospital operating rooms (complex case mix, multiple billable components per case) and outpatient surgical centers see the highest gap recovery. ED facility fees, inpatient ancillary services (IV starts, observation hours), and infusion drug billing all show consistent recovery. ASC supply chargemaster reconciliation alone can recover 1-2% of net revenue at most surgical centers.
Where it struggles
Pure cognitive specialties (primary care, psychiatry talk therapy) have low charge capture leakage because the billable event is the visit itself. ABA shows leakage primarily through missed authorization units, not missed CPT codes.
How to evaluate charge capture vendors
Two questions: (1) What is your average net recovery per case at a hospital with our service mix and case volume? (Get specifics, not generic case studies). (2) How does your platform handle our specific EHR? (Epic, Cerner, Meditech, Allscripts all have different export structures. Some vendors are stronger on some EHRs).
Does ASP-RCM offer charge capture automation?
Yes. ASP-RCM Solutions delivers charge capture automation as part of a full revenue cycle service, with senior partners on every account and a BHCOE channel partnership in the ABA segment. Request a free 30-day RCM audit.
Related capabilities.
Charge capture is one leak. These close the others.