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Charge and Demographics Entry

Our charge entry process ensures timely, accurate, and complete capture of all billable services, aligning procedure codes with appropriate diagnosis codes to support correct reimbursement and prevent revenue leakage. We utilize specialty-specific charge capture tools and maintain rigorous validation protocols to minimize errors such as underbilling or incorrect bundling. Every charge is cross-checked against clinical documentation to ensure consistency, compliance, and audit preparedness.
• Use of specialty-based templates and customized charge sheets to streamline accurate charge capture across various service lines
• Maintenance of a detailed audit trail comparing submitted charges with clinical documentation to ensure completeness and accuracy
• Validation of bundling and unbundling rules to comply with payer guidelines and avoid denials or compliance issues

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Team working

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User experience Testing

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ACA Commercial Risk Adjustment Coding

We support accurate and compliant risk adjustment coding for Affordable Care Act (ACA) exchange-based plans by capturing all eligible diagnoses that impact a member’s Risk Adjustment Factor (RAF) score. Our certified coders conduct thorough medical record reviews and detailed abstraction to identify and document all relevant chronic and high-impact conditions. By aligning with HHS-HCC risk models and payer-specific requirements, we help health plans enhance RAF scores, ensure appropriate premium transfers, and maintain compliance with regulatory standards—ultimately supporting both financial performance and care quality.

Frequently Asked Questions

1. What is charge entry in medical billing?

Charge entry is the process of capturing all billable services and aligning procedure codes with the right diagnosis codes for accurate reimbursement.

2. How does Arovva Solutions ensure accuracy in charge entry?

We use specialty-specific templates, charge sheets, and rigorous validation protocols to prevent underbilling, errors, and revenue leakage.

3. How do you maintain compliance during charge entry?

Every charge is cross-checked against clinical documentation, with bundling and unbundling rules applied per payer guidelines.

4. What benefits do providers gain from accurate charge entry?

They experience fewer denials, stronger compliance, improved reimbursement, and better audit preparedness.