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Pathology Coding

Our Pathology & Laboratory Coding services focus on the precise coding of lab reports and diagnostic services, ensuring that all tests, procedures, and results are accurately captured in accordance with CPT, HCPCS, and ICD-10-CM guidelines. Our certified coders are experts in the intricacies of laboratory services, from routine blood work to complex diagnostic tests, ensuring the correct application of codes for both professional and technical components. We also ensure proper ICD-10-CM linkages to reflect the clinical relevance of each test, optimizing reimbursement while maintaining full compliance with payer policies and regulatory requirements. Our commitment to accuracy helps minimize coding errors, reduce denials, and improve overall billing efficiency for pathology and laboratory services.

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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 are Pathology & Laboratory Coding services?

These services ensure accurate coding of lab reports and diagnostic tests using CPT, HCPCS, and ICD-10-CM guidelines.

2. How does Arovva Solutions ensure coding accuracy for lab services?

Our certified coders apply correct codes for both professional and technical components, with proper ICD-10-CM linkages to reflect clinical relevance.

3. What types of tests do you support in coding?

We handle everything from routine blood work to complex diagnostic procedures, ensuring compliance with payer and regulatory standards.

4. What benefits do pathology and lab providers gain from your coding services?

They see fewer errors, reduced denials, optimized reimbursement, and improved billing efficiency.