RADV Chart Retrieval

Due to the tremendous enrollment and expected growth of Medicare Advantage Plans, the Centers for Medicare and Medicaid Services (CMS) recently began to require Risk Adjustment Data Validation (RADV) audits of Medicare Advantage Plans. These random audits verify the accuracy of HCC coding and member data to avoid overpayments to providers.

EMSI can prepare you for a RADV audit by retrieving medical records, reviewing charts and helping you identify and correct potential problems, including HCC coding errors and inaccuracies. We help you ensure that your member data is clean and compliant.