When are PB Revenue Guardian checks evaluated?

When are PB Revenue Guardian checks evaluated?

• A. During PB Charge Review
• B. When charges post
• C. During nightly processing
• D. When an encounter is closed

Answer: (B)

Revenue Guardian checks are designed to validate revenue integrity at the moment charges are posted. Doing the checks when charges post ensures each charge—its code, amount, payer, and association to the encounter—is verified before it enters the billing stream. If checks ran later, such as during nightly processing or only when an encounter closes, invalid or incomplete charges could progress to claims, causing denials or rework. So the checks occur as soon as the charge is recorded on the patient account.

Revenue Guardian checks are designed to validate revenue integrity at the moment charges are posted. Doing the checks when charges post ensures each charge—its code, amount, payer, and association to the encounter—is verified before it enters the billing stream. If checks ran later, such as during nightly processing or only when an encounter closes, invalid or incomplete charges could progress to claims, causing denials or rework. So the checks occur as soon as the charge is recorded on the patient account.