Customer Stories

An NYC-based health system had trouble keeping track of provider activity and making sure all billable services were being charged, due to integration issues between their MEDITECH EHR and Athena billing system. By deploying Commure’s powerful Charge Note Reconciliation (CNR) engine, part of the Commure RCM suite, the client was able to transform its billing processes, help providers submit charges much more quickly, and maximize reimbursements.
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Charge Note Reconciliation compares clinical notes to billing records and automatically flags when services are documented but not billed. Charge Note Reconciliation can also be deployed in conjunction with Commure’s Autonomous Coding capabilities to dramatically simplify and eliminate provider charge entry effort, by auto-generating CPT and ICD-10 codes, charge headers and quality measure responses directly from the note.

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After CNR was deployed, the results were immediate:
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• Average monthly charges increased by 20% (from $7.5M to $9.4M)
  
  
• Collections went up by 21% (from $2.2M to $2.8M)
  
  
• Charge entry delays dropped by 28%
  
  
• Denials due to late filing were cut in half (from 68% to 32%)

As this health system’s IT landscape became increasingly complex at a regional, nonprofit acute care teaching hospital, that operates with 400+ beds and employs over 300 physicians across 70+ specialties, the Revenue Cycle leadership realized they were unable to track when and where doctors were documenting care—and whether all that care was getting billed. Because the MEDITECH EHR and AthenaHealth billing system were not integrated in a way that allowed end-to-end tracking of clinical documentation through to charge entry and billing, charges were being missed.

In January 2025, the Revenue Cycle and IT leadership deployed Commure’s Charge Note Reconciliation solution to automatically identify services that were documented but not billed. Commure was able to create visibility across the revenue cycle  by automatically checking clinical notes for missed billing opportunities.

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Commure Charge Note Reconciliation leverages the proven PatientKeeper platform, which integrates seamlessly with any EHR and billing system.  PatientKeeper’s AI-powered clinical and revenue cycle workflows, including ambient scribing, AI search and summarization, charge note reconciliation, and autonomous coding, are designed to integrate with EHRs to make care delivery more efficient. With comprehensive access to the entire patient record, PatientKeeper can ingest clinical documentation from any source, automatically identify missing charges, and autonomously code ICD-10 and CPT codes with high levels of accuracy.

Right after go-live, the team ran a data analysis comparing three years of billing trends. In all areas, they saw clear improvement within just one month of using Commure Charge Note Reconciliation.

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• Revenue Growth: Average monthly charges increased from $7.5M to $9.4M. Collections rose from $2.2M to $2.8M.
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• Faster Workflow: Charge entry lag dropped by nearly 28 days — a 55% improvement.
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• Minimized Denials: Denials for clinic-based charges went down from 68% to 32%  — a 53% improvement.

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“We were missing high-value cases. After we started using PatientKeeper, we finally had visibility into what our physicians were doing. It gave us the eyes we needed.

Success in revenue cycle comes down to three things: the right tools, the right team behind the tools, and making sure those tools are easy to use. PatientKeeper helped us see data faster, improve our workflows, and capture more revenue.” - Director of Billing and Revenue Cycle Management

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Encouraged by these results, the health system is now looking to expand the use of Commure’s RCM tools to other departments and provider groups to continue improving charge accuracy and revenue integrity.

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Learn more about Commure RCM and PatientKeeper.