NYC Health System boosts monthly charge volume 20% with Commure Charge Note Reconciliation

An NYC-based nonprofit acute care teaching hospital (400+ beds, 300+ physicians) could not track provider activity end-to-end due to a lack of integration between their MEDITECH EHR and AthenaHealth billing system. Billable services were being documented but not billed, resulting in missed charges, delayed submissions, and high denial rates for timely filing.

In January 2025, the health system deployed Commure's Charge Note Reconciliation (CNR) engine, which automatically compares clinical notes to billing records and flags underbilled services. The solution runs on the Commure Pro platform, integrating with any EHR and billing system, and can auto-generate CPT and ICD-10 codes from clinical notes via Autonomous Coding capabilities.

Within one month of go-live, average monthly charges rose from $7.5M to $9.4M (20% increase) and collections increased from $2.2M to $2.8M (21% increase). Charge entry lag dropped by 28 days (55% improvement) and timely filing denials were cut from 68% to 32% — a 53% reduction. The health system is now expanding the solution to additional departments.

• Reconciling clinical notes against billing records at scale can rapidly surface significant missed revenue that manual processes overlook.
• Integration-agnostic platforms (EHR + billing system) remove the technical barrier that causes charge leakage in complex IT environments.
• Results can materialize within a single month of deployment when the tooling has full visibility into the clinical documentation pipeline.