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Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

Home
About
Who We Serve
Payers - Medicare Advantage
Payers - Marketplace
Providers
ACO & VBC Networks
Our Solutions
HCC Risk Analytics
ProspectIQ™
ChartCopilot™ Retro
EncounterFlow™
Audit360 RADV Shield™
Knowledge Base
Risk Adjustment Overview
Risk Adjustment Data Files
Risk Adjustment Model Update
Encounter Data Files
Electronic Data Interchange
Resources
Blogs
Contact Us
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RADV Audits & Errors

One Shot, One Chart

Why Only One Medical Record Counts Per HCC in RADV Audits

July 30, 2025

Self-Reporting Still Applies Outside the RADV Sample

What Medicare Advantage Plans Must Know

July 15, 2025

RADV Alert

CMS Sets June 30 Deadline for PY 2022 Closed Period Deletes

June 27, 2025

CMS Announces Deadlines

Deadlines for Medicare Advantage Risk Adjustment Data Corrections Ahead of RADV Audits

May 30, 2025

How CMS Calculates RADV Errors

Calculating Monthly, Per Member

July 23, 2025

No Appeal Rights for Sampling or Extrapolation

What MAOs Must Know About Contract-Level RADV

July 10, 2025

Understanding CMS’s Contract-Level RADV Audits

Payment Error Exposure, Extrapolation, and Plan Liability Explained

June 25, 2025

Understanding the Medicare Advantage RADV Appeals Process

A Guide for MAOs

May 2, 2025

Every Diagnosis Counts

Know Why Even Small RADV Errors Can Cost Big

August 6, 2025

The Hidden Cost of One Coding Error

CMS RADV Extrapolation Explained

July 3, 2025

CMS Finalizes June 16, 2025 Deadline

Deadline for PY2020 RADV Closed Period Deletes

June 13, 2025

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