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.
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
End-to-end project management and support
STRATEGIC RETRIEVAL METHODS
Data analysis for targeting retreival of medical records most likely to support the necessary HCC’s
Chart reviews and diagnostic coding results, for submission to CMS