$9M
A $300 Million Hospital Loses Up to $9 Million a Year in Services Already Delivered — Because the Charge Was Never Generated.
From real-time clinical event monitoring and automated charge generation to CDM integrity management, high-cost supply tracking, charge lag surveillance, and revenue reconciliation analytics — the AI Charge Capture Agent covers every dimension of the charge lifecycle across every service line and care setting.
Monitors clinical events via EHR FHIR R4 — orders, clinical notes, and medication records — applying charge logic at the moment of documentation.
Generates the CDM charge automatically when a billable order is completed — eliminating the manual entry gap between service delivery and revenue capture.
Reconciles OR supply records against the charge sheet — flagging implants and supplies documented as used but missing from charge entry.
Validates every CDM entry against CPT/HCPCS validity, CMS fee schedules, and payer allowables — flagging expired codes, bad mappings, and outdated prices.
Tracks elapsed time between clinical events and charge entry — producing a real-time charge lag dashboard by provider, department, and encounter type.
Compares expected charges against actual captures per service line — producing a daily revenue reconciliation report by department and provider.
The HFMA benchmark is clear: charge capture failures drain 1–3% of net patient revenue annually — through services rendered without charges captured, not through billing errors or payer disputes.
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Every number comes from production revenue-cycle deployments — measured live, not projected in a pitch deck.
A $300 Million Hospital Loses Up to $9 Million a Year in Services Already Delivered — Because the Charge Was Never Generated.
of net patient revenue lost annually to charge capture failures across US health systems (HFMA/Advisory Board benchmark) — for a $300M hospital, $3–9M in…
Enterprise customers trusting Bonami X AI for mission-critical healthcare and revenue cycle operations.
Autonomous monitoring with real-time alerts — continuous automated intervention across every workflow.
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The AI Charge Capture Agent ships with certified connectors for the leading EHR platforms, materials management systems, and revenue cycle billing environments — reading clinical events from your live EHR feed and writing charges directly into your billing system without disrupting care delivery.
Epic EHR FHIR R4 AI charge capture integration with Epic Charge Router for automated charge generation
Oracle Health Cerner AI charge capture agent integration for inpatient and outpatient charge automation
Availity clearinghouse AI charge capture integration for pre-submission charge validation and scrubbing
athenahealth AI charge capture integration for ambulatory charge generation and CDM management
eClaimLink UAE AI charge capture agent integration for DHA and HAAD payer charge submission
Daman UAE health insurance AI charge capture integration for revenue integrity and claim accuracy
Every missed charge, every late entry past the filing window, every implant documented in the operative report but absent from the charge sheet — each represents care your clinicians delivered and your health system absorbed without reimbursement.
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From real-time clinical event monitoring and automated charge generation to CDM integrity management, high-cost supply tracking, charge lag surveillance, and revenue reconciliation analytics — the AI Charge Capture…
Monitors clinical events via EHR FHIR R4 — orders, clinical notes, and medication records — applying charge logic at the moment of documentation.
Generates the CDM charge automatically when a billable order is completed — eliminating the manual entry gap between service delivery and revenue capture.
Reconciles OR supply records against the charge sheet — flagging implants and supplies documented as used but missing from charge entry.
Validates every CDM entry against CPT/HCPCS validity, CMS fee schedules, and payer allowables — flagging expired codes, bad mappings, and outdated prices.
Tracks elapsed time between clinical events and charge entry — producing a real-time charge lag dashboard by provider, department, and encounter type.
Compares expected charges against actual captures per service line — producing a daily revenue reconciliation report by department and provider.
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Talk to a healthcare revenue integrity specialist — get a live demo of the Charge Capture Agent running against your encounter volume and a revenue leakage assessment identifying your top missed charge categories, charge lag exposure, and annual recovery opportunity by service line.
They are adjacent but distinct. Charge capture ensures every billable service actually generates a charge in the billing system; medical coding ensures that charge carries the correct ICD-10, CPT, and modifiers.
The agent covers all major settings where charge capture failures hurt most. Inpatient: daily service charges, procedure documentation, and critical care time-based billing.
Implant and supply capture needs a three-way reconciliation across the materials management system (received), the preference card and case cart (planned), and the operative note (used).
Every open encounter with a missing charge is tracked against a filing deadline matrix by payer — Medicare Part A and B (1 year), commercial (typically 90–180 days by contract), and Medicaid (varies by state) — with time remaining recalculated continuously.
Under-leveling loses revenue and over-leveling creates compliance exposure — both common when providers pick E/M levels from memory. The agent applies the 2021 AMA medical decision-making (MDM) framework to the completed note, weighing the problems addressed, data reviewed, and risk of management, and maps them to the correct MDM level.
EHR integration runs via FHIR R4 APIs for Epic (Charge Router, SMART on FHIR), Oracle Health/Cerner (FHIR R4, Millennium HL7), athenahealth, NextGen, and eClinicalWorks.
ROI comes from three sources. Immediate (months 1–3): missed charge recovery from the agent's baseline audit of documented-but-uncharged encounters still within filing deadlines — typically 40–60% of first-year ROI.
Yes — the agent augments revenue integrity and CDI teams rather than replacing them. Revenue integrity specialists shift from manual sampling to managing exception queues, with every missed charge, filing deadline risk, and CDM issue surfaced in a structured workflow.
Most charge capture solutions and charge capture applications still rely on clinicians manually entering charges during care — the structural cause of revenue leakage.
Yes. Because charges are generated from documented clinical events rather than one device, the agent supports mobile charge capture by surfacing charge gap alerts and provider review queues wherever clinicians document in the EHR.