Initial Validation Audit (IVA) - Auditor
The accuracy of your IVA has a direct impact on your financial performance
The Affordable Care Act (ACA) requires all insurers to hire independent auditors to validate member demographic & enrollment data, medical claims data and health status data in accordance with Department of Health and Human Services (HHS) operated Risk Adjustment Data Validation (HHS-RADV) Initial Validation Audit (IVA) procedures.
What will HDVI do for you?
> Collection of enrollment, claims and medical record documentation
> Detailed field validation
> Documentation packaging and submission to HHS
> Coordination with SVA (Secondary Validation Auditor)
Why should you choose HDVI as your IVA auditor?
> End-to-end solution from the IVA to the SVA handoff
> Purpose built platform to accelerate execution of individual reviews
> Real-time monitoring of audit progress through Tableau® driven dashboards
> Multi-channel approach to maximize record retrieval and minimize provider abrasion, including our patent-pending Secure Virtual Print technology (SVP)
> Member-centric audit approach presents a full picture of audit compliance and allows plans to prioritize actions through our proprietary wizard.
What can you expect when you partner with HDVI?
A technology and services provider committed to ensuring a smooth audit, reducing operational burden on your teams and maximizing your financial performance. We help you navigate the IVA process by collaborating with you to configure a streamlined audit program that meets the needs of your organization.
HDVI’s client managers, certified coders and support teams work with you to:
> Determine a timeline to ensure your audit meets HHS deadlines
> Validate demographic and health status data of each enrollee in your HHS-selected audit sample
> Ensure that all data are appropriately mapped to each enrollee’s source documentation
> Provide HHS with accurate risk adjustment data findings and respond to any subsequent documentation requests
> Support you throughout the appeals process as necessary
> Prepare you for future IVA requirements
Our SaaS products, proven approach, consistent results, and personalized attention and client support are what sets us apart.
To find out how Health Data Vision can help you with your IVA, contact us today.