• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

Change Healthcare Unveils AI-Infused Charge Capture for Providers

by Jasmine Pennic 09/16/2019 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print
Change Healthcare Unveils AI-Infused Charge Capture for Providers

– Change Healthcare unveils a new AI solution, Charge Capture Advisor that will help providers capture more revenue—automatically.


– Charge Capture Advisor identifies potentially missing charges for services that providers performed before claims are submitted.


– 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.


Change Healthcare 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.

The Financial Impact of Charge Capture

If improving charge-capture accuracy hasn’t been at the top of your priority list, it’s time to reconsider. Missing charges and associated reimbursement, combined with the time spent on post-payment audit and recovery, is estimated to cost providers the equivalent of 1% of annual revenue¹. For many hospitals and healthcare systems, that can easily equate to millions of dollars. Likewise, overcharging can be equally detrimental to your bottom line when you consider the cost of processing repayments, interest, fines, audits, and legal fees.

Drive Revenue with AI-Infused Charge Capture

This solution, dubbed “Charge Capture Advisor”, takes automated charge capture beyond rules-based systems to using AI and machine learning to autonomously identify missing charges in claims. The result: Fewer charges missed by human error and gaps in hard-coded rules-based systems, which means providers will capture significantly more revenue in the recycle.

Change Healthcare AI, used in Charge Capture Advisor, identifies potentially missing charges for services that providers performed before claims are submitted. Moreover, unlike brittle rules-based systems that must be manually maintained, Change Healthcare AI keeps getting smarter as it learns, without costly software rules updates.

The net-net: The AI drives costs out of the revenue cycle and boosts income by capturing charges otherwise lost and saves costs and resources from a technology standpoint.

The Benefits of Using AI-Infused Charge Capture Advisor

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. 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.

Why It Matters

“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, Chief AI Officer at 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.”

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: AI, Artificial Intelligence, Change Healthcare, Charge Capture, cloud, Health Systems, integrity, Machine Learning, Payers, physicians, revenue cycle, Revenue Cycle Management, revenue integrity

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

2025 EMR Software Pricing Guide

2025 EMR Software Pricing Guide

Featured Interview

Paradigm Shift in Diabetes Care with Studio Clinics: Q&A with Reach7 Founder Chun Yong

Most-Read

Medtronic to Separate Diabetes Business into New Standalone Company

Medtronic to Separate Diabetes Business into New Standalone Company

White House, IBM Partner to Fight COVID-19 Using Supercomputers

HHS Sets Pricing Targets for Trump’s EO on Most-Favored-Nation Drug Pricing

23andMe to Mine Genetic Data for Drug Discovery

Regeneron to Acquire Key 23andMe Assets for $256M, Pledges Continuity of Consumer Genome Services

CureIS Healthcare Sues Epic: Alleges Anti-Competitive Practices & Trade Secret Theft

The Evolving Role of Physician Advisors: Bridging the Gap Between Clinicians and Administrators

The Evolving Physician Advisor: From UM to Value-Based Care & AI

UnitedHealth Group Names Stephen Hemsley CEO as Andrew Witty Steps Down

UnitedHealth CEO Andrew Witty Steps Down, Stephen Hemsley Returns as CEO

Omada Health Files for IPO

Omada Health Files for IPO

Blue Cross Blue Shield of Massachusetts Launches "CloseKnit" Virtual-First Primary Care Option

Blue Cross Blue Shield of Massachusetts Launches “CloseKnit” Virtual-First Primary Care Option

Osteoboost Launches First FDA-Cleared Prescription Wearable Nationwide to Combat Low Bone Density

Osteoboost Launches First FDA-Cleared Prescription Wearable Nationwide to Combat Low Bone Density

2019 MedTech Breakthrough Award Category Winners Announced

MedTech Breakthrough Announces 2025 MedTech Breakthrough Award Winners

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |