RADV & Validation Audits

Address All CMS Audit Variables for ACA RADV and Improve Future Risk Scores

Altegra Health is among a limited number of partners with fully trained and experienced staff to support all aspects of Affordable Care Act Risk Adjustment Data Validation (ACA-RADV) Initial Validation Audit (IVA) requirements. Our IVA services address all level of details and documentation needed in a sound risk adjustment strategy. Our demonstrated experience with Medicare Advantage RADV, provider claim data audit and experience certified coder recruiting navigated the complex process and data relationships extending from medical records and billing/practice management systems all the way through claims clearinghouse and claims adjudication systems.

HHS ACA RADV Initial Validation Auditor Service. Altegra Health’s IVA team is experienced in both general audit requirements and medical record validation audits. Built upon our foundation in the HHS risk model and EDGE server data submission, our IVA process supports the most challenging data environments.


Webinar: What You Can Do to Prepare for Your 2016 IVA

Description: Preparing for a 2016 Initial Validation Audit is all about organization, process and data quality. Learn the steps you need to take to be absolutely certain that you are ready for your IVA.

8 Ways to Be Sure You Select the Best ACA-RADV IVA Auditor

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Eloqua Test
Eloqua Test 2

Solution Features

  • Enrollment Validation – Review source documentation by enrollee and validate date of birth, gender and plan ID.