Missed Charges = Lost Revenue. Let us find bottom line net revenue for your hospital with the use of our data mining technology in combination with our auditors and revenue cycle experts. ROI justification, excellent references. Start improving your revenue today!

1. Charge Capture Integrity Program
Computer Assisted Audit Techniques Solutions
Revenue Charge Capture Continuous Monitoring Tool
ABOUT SELECT HEALTH MANAGEMENT INC.
Select Health Management Inc (SHM Inc.) has been in the business of revenue cycle
management consulting since 1991. We provide skilled, experienced, charge capture specialists
on our engagements. Our focus is to identify charge capture opportunities that lead to bottom
line net revenue improvements for your facility. We complement our consultants with a proven
automated tool designed to identify charge capture exception opportunities. We focus on results
and customer service with our clients.
ABOUT COMPUTER ASSISTED AUDIT TECHNIQUES (CAAT) SOLUTIONS
Computer Assisted Audit Techniques (CAAT) has long been used, as an industry leader, in
applying CAAT to identify and analyze potential charge capture performance issues in the
healthcare provider environment. We perform a six month look back on hospital data to find
charge capture opportunities. We also provide a ‘continuous monitoring tool’ for facilities to
manage the charge capture process on an ongoing basis.
THE CHALLENGE
Effectively capturing and billing all charges related to providing healthcare services is a challenge
that can have a significant impact on a hospital’s bottom line. It requires knowledgeable staff
with up-to-date information on payment rule changes, coordination between various
departments, IT systems and interfaces, and effective policies and procedures to ensure all
appropriate charges are included on the bill. Ensuring all of these components are working
properly requires skilled staff and a monitoring tool that management can use to identify
potential missed charges.
THE SOLUTION
Our team provides hospital management with a solution that will reduce the risk of revenue cycle
leakage. Our consultants in conjunction with our automated tool automatically receives the
hospital’s HIM and billing data, either pre- or post- bill, and performs a series of tests designed to
identify potential missed charges. We audit the found exceptions and verify root causes. We
work with your hospital team on implementation solutions. Some examples of tests performed by
our tool include: missing Emergency Department level charge, missing injection or administration
of IV infusion charge, missing fluid charge, missing radiology charge, and missing surgical CPT
charge. CHAN has specific charge capture tests for the following departments:
• Emergency Department (ED); Cath and EP Lab; Diagnostic Radiology (subset of ED
toolkit); Interventional Radiology; Maternity, Oncology, Pharmacy, and, Surgery.
In addition, custom tests can be developed based on the hospital’s specific needs and processes.
WHY SHM INC.?
• SHM Inc. has been performing revenue projects and/or charge capture analyses for more
than 18 years.
• We continually enhance our services and products based on client feedback and the
changing healthcare environment.
• SHM Inc. staff is experienced and knowledgeable and we have excellent references.
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SELECT HEALTH MANAGEMENT INC.
Jacqueline M. Francis, President
shminc.org jfrancis@shminc.org
239.775.7773 office