RADV AUDIT SUPPORT

COMPREHENSIVE SUPPORT TOOLS FOR EVERY HCC

Episource is fully prepared and capable of supporting RADV audits, including data import, record retrieval services, medical record review, and CMS submission.

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OVERVIEW

The RADV audit project is tracked through Episource’s internal retrieval and coding software, with reporting available through the online epiConnect portal.

Our senior coding management have acted in lead positions for multiple live RADV audits, as well as numerous mock audits designed to test our ability, and those of our clients, to respond to the demands of the RADV audit situation. Our staff includes coding managers who have been “on the ground” at health plans for multiple RADV audits, dating back to the CY 2007 RADV Pilot.

Episource’s integrated service in record retrieval, diagnosis capture, and submission to CMS allows a fast and seamless turnaround on RADV audits. Our staff has hands-on experience with multiple RADV audits and directly applicable knowledge of CMS’s processes and regulations regarding the RADV.

DELIVERABLES

Regular progress reports

Identification of information of diagnoses successfully pursued

Evidence of transmission of RADV data to CMS

RADV Cover Sheets for all members reviewed

Provider attestation forms, where completed

Identification of providers/offices/hospitals unwilling or unable to cooperate with the RADV process, with explanatory notes

KEY SERVICES

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