ArroConnect is ArroHealth’s proprietary submission platform and workflow management tool that compiles encounters and integrates the needed regulations, format changes, and workflows specific to the Medicare Advantage and Commercial product needs.
ArroConnect assembles claims and encounter data for EDGE Server and EDS/RAPS submissions that meet all CMS and HHS requirements. Our goal is excellence at the first pass, however should your data have errors ArroConnect provides an efficient platform for managing error corrections, exceptions, and re-submissions. In addition, our web-based portal allows clients to manually input supplemental data.
ArroConnect provides complete, accurate and compliant encounter data submissions by:
Ensuring accurate risk-adjusted payments and regulatory compliance
Providing transparency through an online workflow tool
Using customized business rules for RAPS, EDS and EDGE server submissions
Providing accurate risk analytics and forecasting for revenue reconciliation
Estimating risk scores
Tracking EDGE server submissions at the member-level
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 […]