Medicare Audit Resources & Guides
Stay ahead of CMS requirements with our library of Medicare audit resources and practice guides
Essential Resources
Must-read guides for Medicare Advantage practices
CMS RADV Final Rule (2025)
Complete analysis of the final RADV methodology, timeline, and implications for Medicare Advantage plans
RADV Exposure Index (Q1-2025)
Quarterly benchmark report on industry-wide RADV exposure trends and risk mitigation strategies
EDPS Delete File Guide
Step-by-step guide to filing EDPS delete records with CMS, including templates and best practices
Complete Medicare Audit Guide
Everything you need to know about Medicare audits and how to prepare
Understanding RADV Audits
Learn the fundamentals of Risk Adjustment Data Validation audits
- RADV audit methodology
- Sample selection process
- Medical record requirements
- Timeline and deadlines
Preparing for RADV
Best practices for RADV audit preparation and documentation
- Chart organization strategies
- Evidence documentation
- Coding validation processes
- Staff training requirements
RADV Defense Strategies
Advanced techniques for minimizing RADV audit exposure
- Proactive chart review
- Delete file strategies
- Risk scoring methodologies
- Technology solutions
Post-Audit Management
Managing RADV audit results and implementing improvements
- Result interpretation
- Appeal processes
- Corrective action plans
- Continuous improvement
Latest Insights
Stay updated with the latest RADV news and analysis
CMS Announces RADV Timeline Updates
New guidance on RADV audit implementation timeline and health plan preparation requirements...
AI in Healthcare: RADV Defense Applications
How artificial intelligence is transforming Medicare Advantage risk adjustment and audit defense...
RADV Exposure Benchmarking Study
Industry analysis of RADV exposure levels across different health plan sizes and markets...
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Join our experts for a deep dive into RADV audit preparation, defense strategies, and technology solutions.
AI-Powered Chart Review
Learn how artificial intelligence is revolutionizing medical chart review and RADV audit preparation.
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