Medicare Advantage RADV Audits: CMS Isn’t Waiting—Neither Should You
In May 2025, CMS announced it will rapidly expand the number and size of Medicare Advantage RADV audits. By mid June the first wave of additional MA RADV audits were out. The agency intends to subject all eligible Medicare Advantage contracts to a RADV audit every year, and increase the sample size up to 200 enrollees per contract — meaning a RADV audit is in your plan’s near-future.
CMS expects to quickly move through auditing prior years to become “current” with its audits, which may mean multiple audits in a single year. Your plan soon will need expert coding to review a much larger volume of Medicare Advantage RADV-targeted medical records, and accurate advice on whether a chart supports an HCC.
ATTAC Consulting Group: Your Medicare Advantage RADV Audit Coding and Support Partner
Supporting a RADV audit requires more than simple retro-coding, effective support requires an auditor’s eye for what’s acceptable. ATTAC is one of the nation’s leading ACA RADV auditors. Our medical record coding team are also experts in Medicare Advantage RADV audits. With ATTAC as your partner, we’ll code each medical record to determine if the submitted HCCs are supported.
Equally important, we’ll provide you with timely and accessible reports on coding outcomes and identify remaining validation gaps to allow you rapidly pivot to fill the gaps. And, if there are additional unreported HCCs in a record, we’ll capture them to enhance Medicare Advantage RADV outcomes.
Our technology enabled coding platform helps drive coding accuracy and HCC capture. Our technology foundation, combined with highly trained Medicare Advantage risk adjustment coders and RADV expertise and consistent reliable reporting — is all supported by our years long reputation as a leading RADV coding auditor.
Secure Medicare Advantage RADV Resources Now
With the increased number of audits expected, it’s critical to secure coding support before your plan receives a notice. Start the conversation now to ensure you’re prepared when CMS begins issuing audit notifications.
Key Reasons to Use ATTAC for Medicare Advantage RADV Support
- Certified Expertise. Our team of AAPC- and AHIMA-certified coders has extensive experience in Medicare Advantage risk adjustment coding, as well as RADV audits. We audit thousands of records annually for various RADV audits.
- Advanced Technology Integration. We use a cutting-edge NLP computer-aided coding platform to support our highly trained coders. Our AI-powered tools assist coders to identify diagnoses for capture throughout the medical record.
- Coding Accuracy and Quality. Our auditing heritage drives rigorous quality assurance processes to ensure coding accuracy and deliver outcomes you can trust.
- Effective Project Management. From the day you receive a Medicare Advantage RADV audit notice, our audit managers will work alongside you to develop chart chase plans, manage data transfers and coding reporting.
- Detailed and Timely Reporting. We’ll provide timely reporting throughout the audit, by member and HCC validation status.
- Chart Retrieval. We partner with one of the best national chart retrieval firms and can arrange chart gathering support.
- Appeal Support. If necessary, we’ll also provide expert support for any appeals that your plan files with CMS.
- Advanced Data Security and Reliability. ATTAC is HITRUST Certified. We take protecting your data and ensuring stable operations seriously. We’ve built multi-layer authentication, system resiliency, and redundancy into our technical environments.
Our Services
- OIG Mock Audits. We perform OIG targeted audits to help plans identify risk.
- Retrospective Chart Coding. We capture all supported risk-adjustable conditions from the member’s medical records to ensure full risk adjustment and HCC capture from the provider’s chart.
- Chart Over-Read and Auditing. We are a trusted risk adjustment auditor; we conduct audits of plan vendor coding or internally coded charts to identify possible misses and/or unsupported diagnoses.
- Clinical Documentation Improvement. ATTAC assists with clinical documentation review and improvement efforts.
- Provider Education and Training. We help providers understand the importance of accurate documentation and coding.
- Compliance and Audit Support. We provide coding assistance for mock and actual Medicare Advantage RADV audits.
