$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, high-cost supply tracking, and charge lag surveillance.
Monitors EHR FHIR R4 orders, notes, and meds — applying charge logic instantly.
Auto-generates the CDM charge the moment a billable order completes.
Reconciles OR supplies against the charge sheet — flags missing implants.
Validates every CDM entry against CPT/HCPCS and CMS fee schedules.
Real-time charge lag dashboard by provider, department, and encounter type.
Compares expected vs captured charges per service line, daily by department.
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 connects to leading EHR, materials management, and revenue cycle billing platforms.
Epic EHR integration for automated charge capture and generation
Oracle Health Cerner integration for inpatient charge capture
Availity integration for pre-submission charge validation
athenahealth integration for ambulatory charge capture and CDM
eClaimLink UAE integration for DHA and HAAD charge capture
Daman UAE integration for charge capture and revenue integrity
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, high-cost supply tracking, and charge lag surveillance.
Monitors EHR FHIR R4 orders, notes, and meds — applying charge logic instantly.
Auto-generates the CDM charge the moment a billable order completes.
Reconciles OR supplies against the charge sheet — flags missing implants.
Validates every CDM entry against CPT/HCPCS and CMS fee schedules.
Real-time charge lag dashboard by provider, department, and encounter type.
Compares expected vs captured charges per service line, daily by department.
Get in touch
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.
Charge capture ensures every billable service generates a charge; medical coding ensures that charge carries the correct ICD-10, CPT, and modifiers. Perfect coding still loses up to 2% of net revenue to charges that never entered the system.
It covers all major settings where charge capture failures hurt most: inpatient daily service and critical care billing, OR/surgical procedure charges with implant and supply reconciliation, emergency/ICU procedure and medication charges,
Implant capture runs a three-way reconciliation across materials management (received), the preference card and case cart (planned), and the operative note (used) via FHIR or HL7 plus the CDM.
Every open encounter with a missing charge is tracked against a filing deadline matrix by payer — Medicare (1 year), commercial (typically 90–180 days), 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
EHR integration runs via FHIR R4 for Epic (Charge Router, SMART on FHIR), Oracle Health/Cerner, athenahealth, NextGen, and eClinicalWorks, with supply chain via HL7 v2 ORU/ORM or direct API.
ROI comes in three waves: immediate recovery from the agent's baseline audit of documented-but-uncharged encounters (typically 40–60% of first-year ROI), structural gains as automated generation cuts the missed charge rate from 1–3% toward 0.2–0.5% of net revenue (HFMA benchmarks), and elimination of timely filing failures.
Yes — it augments revenue integrity and CDI teams rather than replacing them. 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 still rely on clinicians manually entering charges — the structural cause of revenue leakage. Bonami's charge capture software generates charges directly from documented clinical events, orders, and supply
Yes. Since charges are generated from documented clinical events rather than one device, the agent surfaces charge gap alerts and review queues wherever clinicians document in the EHR.
This agent is one of 32 built and maintained by Bonami X AI, our production AI agent division. If you want an agent like this scoped for your own workflow, our AI agent development company team handles discovery, build, integration, and support end to end.