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HCC Risk Analytics ProspectIQ™ ChartCopilot™ Retro EncounterFlow™ Audit360 RADV Shield™
Risk Adjustment Overview Risk Adjustment Data File Risk Adjustment Model Update Encounter Data Files Electronic Data Interchange Resources
HomeCompany Our Solutions HCC Risk Analytics ProspectIQ™ ChartCopilot™ Retro EncounterFlow™ Audit360 RADV Shield™ AI Hub Explainers Risk Adjustment Overview Risk Adjustment Data File Risk Adjustment Model Update Encounter Data Files Electronic Data Interchange Resources Blogs
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RADV Audits & Errors

Every Diagnosis Counts
Every Diagnosis Counts

Know Why Even Small RADV Errors Can Cost Big

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RADV Audits & ErrorsSudeeksha KoricherlaAugust 6, 2025Comment
One Shot, One Chart
One Shot, One Chart

Why Only One Medical Record Counts Per HCC in RADV Audits

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RADV Audits & ErrorsSudeeksha KoricherlaJuly 30, 2025Comment
How CMS Calculates RADV Errors
How CMS Calculates RADV Errors

Calculating Monthly, Per Member

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RADV Audits & ErrorsSudeeksha KoricherlaJuly 23, 2025Comment
Self-Reporting Still Applies Outside the RADV Sample
Self-Reporting Still Applies Outside the RADV Sample

What Medicare Advantage Plans Must Know

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RADV Audits & ErrorsSudeeksha KoricherlaJuly 15, 2025Comment
No Appeal Rights for Sampling or Extrapolation
No Appeal Rights for Sampling or Extrapolation

What MAOs Must Know About Contract-Level RADV

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RADV Audits & ErrorsSudeeksha KoricherlaJuly 10, 2025Comment
The Hidden Cost of One Coding Error
The Hidden Cost of One Coding Error

CMS RADV Extrapolation Explained

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RADV Audits & ErrorsSudeeksha KoricherlaJuly 3, 2025Comment
RADV Alert
RADV Alert

CMS Sets June 30 Deadline for PY 2022 Closed Period Deletes

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RADV Audits & ErrorsSudeeksha KoricherlaJune 27, 2025Comment
Understanding CMS’s Contract-Level RADV Audits
Understanding CMS’s Contract-Level RADV Audits

Payment Error Exposure, Extrapolation, and Plan Liability Explained

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RADV Audits & ErrorsSudeeksha KoricherlaJune 25, 2025Comment
CMS Finalizes June 16, 2025, Deadline
CMS Finalizes June 16, 2025, Deadline

Deadline for PY2020 RADV Closed Period Deletes

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RADV Audits & ErrorsSudeeksha KoricherlaJune 13, 2025Comment
CMS Issues RADV Correction Deadlines
CMS Issues RADV Correction Deadlines

CMS set 2025 deadlines for MA risk-adjustment corrections ahead of RADV audits.

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RADV Audits & ErrorsSudeeksha KoricherlaMay 30, 2025Comment
Navigating RADV Appeals
Navigating RADV Appeals

A quick guide to how MAOs can challenge CMS RADV audit findings — and what evidence really matters in appeals.

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RADV Audits & ErrorsSudeeksha KoricherlaMay 2, 2025Comment

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