Efficient, accurate, compliant coding. That is our commitment to you. We put our money where our mouth is by guaranteeing weekly quality and performance SLAs. In fact, we always meet—and usually exceed—95% accuracy.
Our experienced coders capture, correct and validate risk adjusting diagnostic codes to ensure you receive the appropriate reimbursement from CMS for your member population. We routinely handle the most complex coding assignments with the highest level of specificity. Here’s how we achieve this level of success:
Dedicated coding teams. Solutions tailored to your needs.
We don’t spread our coders thin on multiple client projects. We recognize that each client has unique specifications—so we assign a dedicated coding team to each client and project. Our team works with you to understand your unique coding requirements and to create project-specific guidelines.
Our innovative, proprietary technology manages our coding processes from beginning to end. Throughout the record review and audit process, we keep a detailed log of all activities. This log includes coders’ accuracy and productivity, as well as weekly quality assurance results.
Because of our commitment to complete transparency, we make all of this performance information available to our clients. Through our ARCH™ client portal, you can access a variety of reports about the quality and the progress of the coding project—down to individual record detail.
Rely on our experienced coders…or yours.
Our experienced, dedicated coders are credentialed through AAPC or AHIMA (CPC and CCS) and have a minimum of five years of HCC coding experience. But we understand that many of our clients want to spread the load between our coders and their own internal coding staff. That’s why we deliver technology that makes it easy for you to allocate the workload. You can dynamically scale our coding engagement based on your ever-changing schedule and workflow.
Our auditing process ensures accuracy.
At ArroHealth, we employ the best coders in the country. But we back up their work with a thorough auditing policy:
Our coders are reviewed at 100% for the first 30 days for a retrospective medical record review. Once a coder has reached the minimum quality standards, we audit 25% of their work.
For prospective risk adjustment, two of our coders review each record. Then our system algorithms identify any mismatched codes, and a supervisor makes a final determination of the correct code.
By RaeAnn Grossman What does your risk adjustment team need to think about from application time to bid season? Answers include but are not limited to: Are we changing our formulary and will this impact Rx risk adjustment? Are we narrowing our provider networks and will this impact campaigns or waves? Are we capitating more […]
By RaeAnn Grossman First, have you integrated compliance and risk adjustment? Have you embedded your risk mitigation strategies? Here are a few items that should be on your compliance for risk adjustment checklist: Review coding guidelines quarterly (internally and with vendors) Perform 2LR and 3LR annually Embed claims validation into Medicare Advantage, Commercial, and Medicaid […]