Get the expertise you need to meet HHS-RADV audit requirements, submit accurate risk adjustment data and improve financial performance.
The Affordable Care Act (ACA) requires qualified commercial health plans to retain an independent Initial Validation Auditor (IVA) to validate member risk adjustment data in accordance with the Department of Health and Human Services (HHS) Risk Adjustment Data Validation audit program.
Selecting a highly qualified IVA auditor is one the most important decisions you will make in the HHS-RADV process, nurse as the accuracy of your results will have a significant impact on your plan’s financial performance.
Advent is fully qualified to perform your IVA. Beyond meeting all HHS qualifications, view credentials and resource requirements, we have been conducting CMS Medicare Data Validation audits since the inception of the program—and audited thousands of measure submissions in accordance with the CMS technical specifications and data validation manual.
Advent is also an NCQA-licensed HEDIS® Compliance Organization, which certifies our data validation experience, firm commitment to audit best practices and strict adherence to the highest standards of professional responsibility, codes of conduct, organizational independence, and data security and privacy.
Advent’s client-centered approach focuses on ensuring a smooth audit, reducing operational burden on your teams and maximizing your financial performance. We help you navigate the IVA process by building personalized relationships and collaborating with you to customize a streamlined audit program that meets the needs of your organization.
Advent’s client managers, certified coders and support teams work with you to:
Our proven approach, consistent results, and personalized attention and client support are why 100% of our clients say they are “very” satisfied with our services and would wholly recommend us to others.
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