As regulators increase the frequency and scope of Risk Adjustment audits, health plans will face many critical decisions that impact compliance and finances. The risk is too high to rely on outdated practices or delegated relationships to mitigate the risk of adverse findings from a Medicare Advantage Risk Adjustment Data Validation (RADV) audit.

Watch our on-demand webinar to learn how HDVI's MRCS SaaS product, and the Verify/Delete+Add (V/D+A) workflow, can help improve audit outcomes by:

  • Associating the medical record documentation to the claim at the same time, simultaneous to the review
  • Gaining immediate identification of discrepancies or submission of adjusting entries
  • Ensuring that all diagnostic codes not substantiated in a medical record are removed
  • Minimizing the submitted error rate to reduce the financial exposure from an audit
  • Improving quality and compliance of provider data
  • Efficiently correcting EDPS, RAPS and EDGE server data submissions

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