Charges From Clinical Events
Captured at the point of care.
Award-Winning AI Development & Consulting
The Revenue Cycle Reality Check
1–3% of Net Patient Revenue Leaves Every Health System Uncaptured Every Year
Most of it never reaches the billing department. It is lost at the point of care: a service documented but no charge triggered, an implant used but not scanned, a note signed after discharge with nobody watching the clock.
- Services rendered but never billed
- Charges entered days after the service
- High-cost supplies used with no matching charge
- CDM mapping errors that silently drop revenue
Business impact
1–3%
of net patient revenue is lost every year to charge capture failures — not billing errors or payer disputes.
Source: HFMA / Advisory Board benchmark
- $3M–$9M
- in services already delivered and documented — never billed — at a $300M-net-revenue hospital.
- $9M
- Annual exposure the Charge Capture Agent recovers for a $300M hospital.
- 24/7
- Autonomous charge monitoring with real-time filing-deadline alerts.
Six Core Capabilities of the AI Charge Capture Agent
From real-time clinical event monitoring and automated charge generation to CDM integrity, high-cost supply tracking, and charge lag surveillance.
01
Event Monitoring & Charge Detection
Monitors EHR FHIR R4 orders, notes, and meds — applying charge logic instantly.
02
Charge Generation From Documentation
Auto-generates the CDM charge the moment a billable order completes.
03
Supply & Implant Charge Capture
Reconciles OR supplies against the charge sheet — flags missing implants.
04
CDM Integrity & Mapping Validation
Validates every CDM entry against CPT/HCPCS and CMS fee schedules.
05
Charge Lag & Filing Deadlines
Real-time charge lag dashboard by provider, department, and encounter type.
06
Reconciliation & Leakage Analytics
Compares expected vs captured charges per service line, daily by department.
Why Choose the AI Charge Capture Agent
Charge Lag Closed
Escalated before filing deadlines expire.
Continuous Revenue Integrity
Every encounter reconciled daily.
Integrations
Works With Your EHR, Supply Chain, and Billing Systems
The AI Charge Capture Agent connects to leading EHR, materials management, and revenue cycle billing platforms.
6 named systems it connects to
Also connects to eClaimLink
Running something not listed here? Tell us on the call — scoping the connector is the first step.
AI Charge Capture Agent
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Epic
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Oracle Health
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Availity
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athenahealth
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Daman
Proven in Healthcare Revenue Cycle Operations
Real deployments applying AI in revenue cycle management across billing, coding, and collections — not projected numbers.
98% Collection Rate
Case Study
5-Location DSO Hits a 98% Collection Rate
An RCM dashboard traced every dollar from service to payment — lifting collections from 78% to 98% and recovering $275K.
15-Day Reimbursement
Case Study
60-Day Reimbursement Cycles Cut to 15 Days
Automated CDT/CPT/ICD-10 claim generation and EOB reconciliation compressed cash cycles and lifted coding accuracy to 98%.
$180K Risk Prevented
Case Study
$180K in Compliance Risk Prevented
A cross-coding validation engine blocked impossible CDT/CPT/ICD-10 pairings, lifting first-pass claim acceptance from 65% to 94% with zero audit findings.
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AI Charge Capture Agent — FAQs
[ 1 ]
What is charge capture in healthcare, and why does it matter?
Charge capture is the process of turning a delivered clinical service into a billable charge. When it fails, the service was still delivered — the health system just never gets paid for it.
[ 2 ]
What is an AI Charge Capture Agent and how is it different from medical coding automation?
Coding gets the ICD-10 and CPT right; charge capture makes sure the charge exists at all. The agent detects billable events from documentation.
[ 3 ]
Which care settings and service lines does the agent cover?
Inpatient and critical care, OR/surgical with implants and supplies, emergency/ICU, and outpatient E/M with infusion reconciliation.
[ 4 ]
How does the agent handle high-cost implant and supply charge capture?
A three-way reconciliation across materials management, case cart, and operative note, with HCPCS L-code validation on high-cost implants.
[ 5 ]
How does timely filing deadline management work in practice?
Open encounters are tracked against a per-payer deadline matrix and escalated to revenue integrity at 30, 14, and 7 days out.
[ 6 ]
How does automated E/M level selection work, and what is the compliance framework?
The agent applies the 2021 AMA medical decision-making framework to the signed note and attaches supporting MDM elements for audit defence.
[ 7 ]
Which EHR systems and supply chain platforms does the agent integrate with?
FHIR R4 with Epic, Oracle Health/Cerner, athenahealth, NextGen, and eClinicalWorks; supply chain via HL7 v2; eClaimLink and TPA APIs in the UAE.
[ 8 ]
What revenue recovery ROI can we expect and how quickly?
Missed charge rates fall from 1–3% toward 0.2–0.5% of net revenue, and most deployments recover full investment within 3–5 months.
[ 9 ]
Does the agent work alongside existing revenue integrity and CDI teams?
Yes. Specialists move from manual sampling to exception queues, and the agent reuses your CDI query process to avoid duplicate queries.
[ 10 ]
How does this charge capture software differ from outsourced charge capture services and other charge capture solutions or applications?
Outsourced charge capture services still depend on a person reviewing each encounter after the fact. Bonami's charge capture software generates charges from signed documentation the moment it's written and reconciles daily — no review backlog.
[ 11 ]
Does the agent support mobile charge capture and charge capture medical billing workflows?
Yes. Charge gap alerts follow clinicians wherever they document, and charges post to medical billing via the EHR charge entry API.
A $300 Million Hospital Loses Up to $9 Million a Year in Services Already Delivered — Because the Charge Was Never Generated.
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. Get a live demo of the Charge Capture Agent running against your encounter volume and a revenue leakage assessment by service line.
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