Risk Adjustment Data Validation Audits

Risk Adjustment Data Validation Audits are significant events for any MA, Dual/SNP, and Commercial plan with potentially impactful financial consequences. Reveleer already offers the tools, processes, and analytics to optimize revenue while also mitigating many risks and problems that may otherwise only surface in RADV.




In addition to these solutions, Reveleer also has the ability to support RADV response efforts for both clients who use Reveleer already (with many members and medical records already in the system and ready to be reviewed, prioritized, and submitted), as well as clients who can leverage Reveleer for the RADV response effort to great effect.

Reveleer also has comprehensive Mock RADV options that assist clients in both assessing the effectiveness of its Risk Adjustment efforts and to test their preparedness for a RADV Audit.