Data Mining

Data Mining

ARMS’ data mining-based audits use data analysis queries and algorithms to compare our client’s claims history against specific billing, coding, coordination of benefits, utilization and reimbursement rules enabling the identification of overpayments due to errors by providers, flaws in processes and systems and faulty plan regulations and policies.

ARMS’ team of Business Analysts and Programmers work closely together to interpret client’s medical and coding policies to determine customization of each algorithm in order to maximize overpayment while maintaining a high standard of quality identifications and recovery results.

ARMS Data Mining Process
graph1