One confidential CMS presentation dated March 30, 2011, notes that officials had received more than 500 comments expressing "significant resistance" to the RADV audits.
The RADV program's shortcomings, though little known to the public, haven't gone totally unnoticed.
Government officials didn't dispute that the RADV process had taken far too long and yielded way too little.
America's Health Insurance Plans, an industry trade group, argued in a June 2016 position paper that RADV was "not yet stable and reliable," adding that the audits "could disrupt the care being provided by plans that are working hard to meet the needs of their enrollees.
MediConnect's new RADV suite of services offer timely retrieval of medical records for CMS audits - along with online coding forms and CMS-required packet compilations for submission - that enhance the company's recently announced cloud-based risk adjustment services.
In order to verify their initial risk adjustment claims, Medicare Advantage plans regularly undergo RADV audits from CMS.
MediConnect's RADV services dramatically reduce the work needed to meet the varied requirements of the audit, which alleviates much of the stress associated with the process.
By using MediConnect's RADV services, health plans are able to save both time and money, which increases their ability to stay on top of healthcare reform.