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. HDVI’s MRCS platform 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, the MRCS platform also has the ability to support RADV response efforts for both clients who use MRCS 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 MRCS for the RADV response effort to great effect.

HDVI 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.