8 WAYS TO BE SURE YOU SELECT THE BEST ACA-RADV IVA AUDITOR The ﬁrst year of commercial risk adjustment has ended. Select an audit ﬁrm for the new ACA RADV Initial Validation Audit requirements soon to lock in qualiﬁed resources. Follow the checklist to ensure your IVA partner has the expertise and resources to comply with CMS future guidance and enhance your foundation for a sound risk adjustment strategy: MA RADV Experience Demonstrated ability to stay ahead of changing CMS guidelines Coding Resources A steady pool of trained, experienced and certiﬁed coders Validation Tools Experience and technology to combine EDGE server data and chart images RADV 834 Enrollment Files Skills and resources to validate original 834s with EDGE server data 837 Claims and EHR Data Analytics EDGE Server Experience Spot missed diagnosis codes and improve risk score data streams Identify and prevent EDGE server data-prep errors Audit Expertise Beyond Chart Coding: • Generally Accepted Government Audit Standards (“Yellow Book”) • American Institute of Certiﬁed Public Accountants • Standards for the Professional Practice of Internal Auditing developed by the Institute of Internal Auditors • Information Systems Audit & Control Association Standards ACA Risk Model Experience Precisely analyze revised risk scores beyond simply applying the SaaS (Software as a Service) code. Initial Validation Audit vendor selection and preparation takes months— impacting IT, ﬁnance, risk adjustment and provider relations. Enlist Altegra Health for your team now! NextSteps@AltegraHealth.com | AltegraHealth.com ©2015 Altegra Health | All Rights Reserved !