What is Charge Review? A Complete Guide to Streamlining Medical Billing

Introduction to Charge Review

Charge review is a critical step in the medical billing process that ensures accuracy, compliance, and proper reimbursement for healthcare services. Before claims are submitted to insurance payers, charge review acts as a checkpoint where codes, documentation, and charges are verified to prevent errors that could lead to denials or revenue loss.

Healthcare providers, medical coders, and billing teams rely on charge review systems to:

• Identify and correct coding errors
• Validate charges against payer policies
• Ensure compliance with regulatory guidelines
• Maximize revenue by preventing underbilling
• Reduce claim denials and rework
  

Many healthcare organizations use charge review within their electronic health records (EHR) and billing software to streamline financial operations. Some leading systems, like Epic’s Charge Review Workqueues, provide built-in validation processes to help organizations manage and resolve charge issues before submission.

However, not all charge review systems are created equal. While traditional charge review tools provide basic validation, MediMobile’s charge review system takes it to the next level with real-time data, instant insurance verification, and AI-driven automation.

Why MediMobile's Charge Review System is a Game-Changer

MediMobile’s automated charge review system is designed to eliminate inefficiencies, capture every dollar, and ensure medical practices get reimbursed faster. Here’s what sets us apart:

1. Real-Time Charge Validation

Unlike many systems that only run charge audits at scheduled intervals, MediMobile processes charge review in real-time. As soon as a charge is entered, our system automatically checks for missing information, coding discrepancies, and compliance issues—before the claim is submitted.

2. Instant Insurance Data & Payer Rules

One of the biggest challenges in medical billing is navigating complex insurance policies and payer rules. With MediMobile, you get real-time insurance verification, ensuring that each charge aligns with payer-specific guidelines. This reduces the chances of denials and speeds up reimbursement.

3. AI-Powered Charge Optimization

MediMobile’s AI-driven system analyzes past claims, payer trends, and coding patterns to help optimize charge capture. It can suggest CPT and ICD-10 codes, flag potential issues, and recommend the correct MIPS measures—all within seconds.

4. Seamless Integration with Any EHR

Whether your organization uses Epic, Cerner, Meditech, eClinicalWorks, or any other EHR, MediMobile integrates effortlessly. Our charge review system works alongside your existing workflow, enhancing charge capture without disrupting daily operations.

5. Customizable Rules & Alerts

Every practice, specialty, and billing team has unique needs. MediMobile allows custom charge review rules so you can tailor alerts based on your practice’s billing policies, specialties, and payer requirements.

How Charge Review Improves Revenue Cycle Management

A strong charge review system doesn’t just prevent errors—it maximizes revenue and improves the entire revenue cycle management (RCM) process. By catching issues before claims are submitted, providers:

✔️ Reduce claim denials and rework
✔️ Speed up insurance reimbursements
✔️ Improve compliance and accuracy
✔️ Prevent lost revenue from undercoding or missing charges

MediMobile’s charge review system ensures that every charge is correct, compliant, and optimized—giving providers peace of mind and financial stability.

Watch our latest LinkedIn Live discussion on our charge review system here:

Ready to Upgrade Your Charge Review Process?

If your organization is still manually reviewing charges or dealing with frequent denials, it’s time for a smarter solution. MediMobile’s charge review system eliminates manual bottlenecks and ensures you get paid what you deserve—on time, every time.

👉 Schedule a quick demo today to see how MediMobile can streamline your charge review process and increase revenue.