ARC +
15x
Return on Investment
55%
Reduction in Denials
300%
increase in Efficiency
ARC +
AI enabled Pre-Bill + Post-Bill CDI & IP Coding Audit solution
Simplifies the operational complexity of IP-DRG reviews – reducing costs for managing complex Pre-Bill/Post-Bill review program operations and processes.
Our CDI and IP coding audit platform enables accurate billing, leading to accurate claims submission to Payers, thus eliminating the risks of adverse audit actions, DRG downgrade, denials, and achieves accurate risk adjustment & reporting.
Achieve 100% Revenue Integrity
Focused IP-DRG coding & auditing workflows enable accurate diagnosis recapture and DRG validation, leading to accurate claims submissions
Increase Auditor productivity
AI-enabled workflows increase auditors’ productivity by 200%
Efficient CDI and IP coding audit workflows
Audit-proofing the IP claims submissions to payers
Enhance Clinical Validation & Coding DRG Denials
Maximize ROI and protect “Revenue Downside risk”
Compliance with Clinical Documentation Integrity best practices.
Prevent DRG denials & downgrading by 75%
Advanced Analytics
Advanced analytics to highlight gaps in evidence across clinical notes, labs, and imaging to corroborate coded conditions.
Dashboards and Smart Reports
- Provider Score Cards
- DRG Audit across all lines of business
- Real time DRG Denial & re-bill trending
- Quality re-capture Score Cards
Enable mid-revenue audit cycle
Improve Risk Adjustment, including SOI/ROM, Observe-to-Expected ratios, & PSI/HACs reporting
Actionable Provider, CDI & Coder “Scorecards” help improve CDI & IP coding
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