The Centers for Medicare and Medicaid Services (CMS) requires Risk Adjustment Data Validation (RADV) audits of Medicare Advantage Plans. These random audits verify the accuracy of HCC coding and member data in order to avoid overpayments to providers.
EMSI Health helps health plans adequately prepare for RADV audits by retrieving medical records, reviewing charts and helping identify and correct potential problems such as HCC coding errors and inaccuracies. In addition, we help ensure that your member data is clean and compliant.
Contact us today to learn more about our RADV chart retrieval capabilities.