CAPTURE
Charge Capture Intelligence
CAPTURE scans every encounter to identify billable services that slip through manual charge capture processes. From supplies and injections to diagnostic tests and procedures, CAPTURE ensures nothing is left unbilled, typically recovering 10-15% in previously missed charges.
Key Capabilities
Advanced features designed to maximize your revenue recovery and operational efficiency.
Comprehensive Encounter Scanning
CAPTURE analyzes clinical documentation, orders, and results to identify all billable services performed during each encounter.
Supply & Material Tracking
Automatically identifies billable supplies, materials, and equipment used during procedures that are commonly missed in manual processes.
Injection & Administration Fees
Ensures all drug administration fees, injection codes, and related services are captured alongside medication charges.
Diagnostic Test Reconciliation
Cross-references ordered tests with billed charges to identify diagnostic services that were performed but not charged.
Procedure Unbundling Analysis
Identifies opportunities for appropriate separate billing of distinct procedures while maintaining compliance.
Revenue Leakage Alerts
Real-time alerts when patterns of missed charges are detected, enabling immediate process corrections.
How CAPTURE Works
A step-by-step look at how our AI agent processes and optimizes your revenue cycle.
Multi-Source Data Collection
CAPTURE aggregates data from multiple sources including EHR documentation, lab interfaces, imaging systems, and inventory management. This comprehensive view ensures no billable service is overlooked.
Service Identification
Advanced pattern recognition identifies all services documented or performed during the encounter. The AI understands clinical workflows and knows which services typically accompany specific chief complaints.
Charge Comparison
Identified services are compared against charges already captured in the billing system. Any discrepancies are flagged for review, with detailed documentation of the missed service.
Compliance Verification
Before recommending additional charges, CAPTURE verifies medical necessity, documentation support, and payer-specific billing rules to ensure compliance.
Prioritized Worklist
Missed charges are presented to billing staff in a prioritized worklist, ranked by dollar value and confidence level. Staff can review supporting documentation and add charges with a single click.
Process Improvement Insights
CAPTURE identifies systematic charge capture failures and provides actionable insights to improve front-end processes, reducing future leakage.
Technical Specifications
Enterprise-grade capabilities built for scale and compliance.
Data Integration
- EHR/PM system integration (20+ platforms)
- Lab information system connectivity
- Imaging/PACS system integration
- Inventory management system links
Recognition Engine
- ML-based service identification
- Clinical workflow pattern matching
- Supply and material recognition
- Procedure component analysis
Charge Database
- Complete CPT/HCPCS code mapping
- Supply and material charge master
- Payer-specific fee schedules
- Facility-specific charge rules
Compliance Framework
- Medical necessity validation
- Bundling/unbundling rules
- Modifier requirement checks
- Documentation sufficiency scoring
Workflow Tools
- Prioritized review worklists
- One-click charge addition
- Batch processing capability
- Mobile review interface
Analytics
- Charge capture rate tracking
- Revenue leakage dashboards
- Provider-level performance
- Trend analysis and forecasting
Case Study
Real results from urgent care centers using CAPTURE.
Independent Urgent Care Recovers $180K in Missed Charges Annually
The Challenge
A busy single-location urgent care in Colorado was processing 150+ patients daily with a lean staff. Their charge capture process relied on providers selecting charges from a dropdown menu during documentation. An internal review revealed they were consistently missing billable supplies, injection fees, and diagnostic services—an estimated 12% revenue leakage.
The Solution
CAPTURE was deployed with integration to their Experity EHR and lab interface. The system began scanning all encounters within 24 hours of service, identifying missed charges and presenting them to billing staff for review. Within the first month, CAPTURE identified over $15,000 in recoverable charges.
"We had no idea how much revenue was walking out the door. CAPTURE found charges we didn't even know we were missing—supplies, injection fees, you name it. It's like having an extra billing person who never misses anything."