What is typically the first step in using the Charge Capture section after a procedure?

The first step in using the Charge Capture section after a procedure is to select the correct procedure code. This step is essential because accurately identifying the procedure via its corresponding code ensures that the charges billed reflect the services rendered. Procedure codes serve as a standardized way to describe medical, surgical, and diagnostic services, allowing for proper billing and reimbursement processes.

If the procedure code is not selected correctly, any subsequent actions, such as entering charges or saving them to the electronic health record, could lead to billing errors, discrepancies, or potential delays in reimbursement. Selecting the correct procedure code sets the foundation for accurate charge capture, aligning the clinical documentation with financial processes.