On Wednesday, January 6, 2021, CMS confirmed the HHS-RADV-IVA 2019 Benefit Year Audit Sample Report Run Schedule. The First (preliminary) Sample Run was executed on 1/7/21. CMS released the RADV report command to the EDGE (External Data Gathering Environment) servers to run the HHS-RADV-IVA Sampling Reports.

CMS released the second (final) run Tuesday, January 19, 2021. Issuer’s were to execute the RADV report command by 10:00am ET. Issuer’s began receiving their HHS-RADV-IVA Sample reports via their EDGE Server.

HHS-RADV-IVA Sample Reports will be available to the IVA Entity on Friday, January 22, 2021. IVA Entities will receive a notification email when the reports are available in the CMS Audit Tool. The IVA Entity Senior Officials (SOs) and the IVA Entity Coordinators will have access to the sampling reports for all their contracted Issuer and associated HIOS IDs. Please note, if an Issuer was delayed with the execution of the RADV command on 1/19/21 or if the command failed, there may be a delay in the access to the Sample reports in the CMS Audit Tool.

If you have not selected your IVA Entity, please be sure to reach out to Reveleer for an HHS-RADV-IVA demo. 

For questions regarding the 2019 Benefit Year & 2020 Benefit Year HHS-RADV Activities Timeline, you may email Reveleer at PayerCommunity@reveleer.com

 

BY 2019 RADV-IVA Timeline-updated

 

 

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Reveleer is a healthcare-focused, technology-driven workflow, data, and analytics company that uses natural language processing (NLP) and artificial intelligence (AI) to empower health plans and risk-bearing providers with control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform allows plans to independently execute and manage every aspect of enrollment, provider outreach, data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services, so health plans can confidently plan and execute programs that deliver more value and improved outcomes. To learn more about Reveleer, please visit Reveleer.com.