Excellence in HEDIS abstraction and reporting is critical for plans and providers seeking to improve their care delivery, gap closure, STARS scores, QRS standing, and member or patient satisfaction. That’s why ArroHealth delivers robust HEDIS aggregation and abstraction services for health plans and provider group clients. Our services help you succeed with HEDIS, Medicare Advantage Star Ratings and Commercial QRS initiatives.
What makes ArroHealth’s HEDIS Services different?
We deliver innovative technology and unprecedented transparency. ArroHealth’s ARCH™ system, a web-based management application, allows our HEDIS clients the real-time access to track and manage our services from suspect list to retrieval and abstraction.
HEDIS services and solutions:
Transparent suspect list and project management in ARCH system
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 […]