Contract Compliance

Contract Compliance

Our Contract Audit Tool is designed to load facility rates and reprice claims according to contract loaded. The rates schedule review includes but not limited to:

  • Pricing Rules
  • Procedure Rates
  • Modifier Adjustment Rules
  • DRG Rates
  • Room and Board Rates
  • APC Rates
  • ASC Procedures
  • ASC Rates
  • Carve Out Rules
  • Free Form Rules
  • Clinical Audits

ARMS offers end-to-end audit services to identify unnecessary spending of healthcare dollars through various audits comparing itemized bills against medical records, treatment settings, services codes and invoices. Our proprietary Audit Recovery Management Software and a staff of medical experts gives our client’s the advantage on identifying overcharges.