Capture every billable service. Post every payment precisely — accelerating cash flow & revenue integrity.
In today's revenue cycle environment, the margin for administrative error is shrinking. Charge entry determines what gets billed (and how fast). Payment posting determines what you learn from payers (and how fast you can respond to denials, underpayments, and patient balances).
At IntegraRCM, we manage these functions as the core of revenue integrity, using structured workflows, automation, and exception-based review to keep charge lag low, posting accurate, and reconciliation audit-ready.
Charge entry is the process of turning documented clinical services into billable charges inside your PM/EHR billing system. It validates CPT/HCPCS codes, modifiers, units, diagnosis linkage, and fees to reduce preventable rejections, protect compliance, and improve first-pass claim performance.
Payment posting applies payer and patient payments, contractual adjustments, and denials from ERAs (835) and EOBs to accounts. Timely posting keeps A/R accurate, triggers faster follow-up, improves secondary billing speed, and highlights underpayments and variance patterns for recovery.
The goal is simple: faster, cleaner cash, with data that supports proactive denial prevention, contract compliance, and a consumer-grade financial experience.
Benchmarks vary by specialty, payer mix, and system configuration. We establish baselines in onboarding and lock SLAs to measurable KPIs.
Real-world revenue cycle workflows for charge entry, ERA/EOB posting, reconciliation, and underpayment analysis. Our delivery model is built around measurable SLAs, QA sampling, exception handling, and payer-specific variance logic tailored to each client's specialty, payer mix, and documentation patterns.
Charge Capture & Reconciliation
Coding & Charge Validation
Charge Entry & Same-Day QA
ERA/EOB Intake & Auto-Posting
Variance & Underpayment Routing
KPI Reporting & Feedback
From documented service → validated charge → posted payment → actionable intelligence.
| Metric | Before IntegraRCM | After IntegraRCM |
|---|---|---|
| Charge lag (service date → entered) | Multi-day delays; missed revenue opportunities | Same-day / 24–48 hour targets with QA |
| Payment posting turnaround (ERA/EOB → ledger) | Posting backlog; slow secondary billing and follow-up | Automated posting + exception queues for speed |
| Unapplied cash & misapplied payments | Reconciliation gaps; manual research-heavy cleanup | Cleaner allocation and tighter deposit reconciliation |
| Underpayment / contractual variance visibility | Short pays overlooked or discovered late | Variance rules + worklists for timely recovery |
| Net collections & payer performance insight | Reactive reporting; limited root-cause clarity | Dashboards that support proactive prevention |
Client: A multi-location specialty group (surgery + imaging) with mixed payer contracts and high encounter volume
Challenge: Charge lag and posting backlogs created blind spots in A/R; unapplied cash increased, and underpayments were difficult to identify consistently.
Results (typical outcomes after stabilization):
Note: Results vary by payer mix, specialty, and system configuration. We define KPIs during onboarding and report weekly/monthly against targets.
| Model | Description | Suitable For |
|---|---|---|
| Per-Transaction Fee | Fixed fee per encounter/charge batch and/or per ERA/EOB posted, with QA and exception handling | Clinics, ASCs, specialty practices |
| Dedicated Team / FTE Model | A dedicated team aligned to your systems, timelines, and reporting cadence | Hospitals, enterprise groups, high-volume organizations |
| Hybrid Model | Monthly retainer + variable fee for overflow, peak season, or specialty exceptions | Practices with fluctuating volume or multi-specialty complexity |
Each engagement begins with onboarding: baseline KPI audit (charge lag, posting TAT, unapplied cash, variance rate), workflow mapping, integration setup, and SLA definition.
Most organizations see early momentum in the first 30–60 days (throughput and backlog reduction), with deeper revenue integrity gains as variance and prevention loops mature.
Charge entry converts documented services into billable charges inside your PM/EHR billing system (CPT/HCPCS, diagnosis links, modifiers, units, and fees). Accuracy here improves first-pass performance and reduces preventable rejections and missed revenue.
Payment posting applies payer and patient payments, adjustments, and denials to accounts based on ERAs/EOBs. Timely posting keeps A/R accurate, triggers follow-up on denials/underpayments sooner, and improves net collection visibility.
Yes. We work with ERAs for automated/assisted posting and maintain structured workflows for non-ERA payers and paper EOBs, including exception queues for complex scenarios and reconciliation checks.
Yes. We establish payer-specific variance logic (fee schedules, bundles, discounts, and policy edits) and flag short pays or mismatched adjustments to support timely recovery workflows and contract compliance review.
Targets depend on volume and systems, but most teams aim for charge entry within 24–48 hours of service and payment posting within 24–48 hours of remittance receipt (with clear SLAs for exceptions).
Yes. We integrate with common PM/EHR platforms and payer portals, aligning file formats (ERA/835), posting rules, and reconciliation steps to minimize disruption and improve reporting accuracy.
We'll review a recent sample of encounters and remittances, measure charge lag and posting turnaround, identify reconciliation gaps (unapplied cash, misposts, variance patterns), and provide a KPI baseline with recommendations.
Audit reports are typically delivered within 10 business days.