MA Plans
How We Support Health Plans
Execution That Delivers Results—Accurate, Compliant, On Time
We handle end-to-end retrieval—fast, compliant, and low-abrasion. Whether it’s through EMR, portal, fax, or SFTP, we ensure charts are complete, audit-ready, and delivered on time.
Our AAPC-certified coders deliver 96%+ accuracy, backed by multi-level quality checks. Each record is coded to CMS-HCC V28 standards and built to stand up to RADV scrutiny.
From suspecting and chase list execution to recapture, provider summaries, and pre-submission QA—we manage the workflows plans depend on. Every step is engineered for control, not chaos.
Where risk and quality overlap, we help close gaps through focused abstraction and documentation improvement—without creating silos or duplicating effort.
How We Ideate With Health Plans
Co-Creating Smarter Risk Adjustment Programs
We collaborate closely with plan teams to shape suspecting logic, chase priorities, and retrieval strategy—tailored to data access, provider behavior, and timeline needs.
hen CMS-HCC V28 or RADV changes are on the horizon, we help plans adapt early—refining coding guidelines, documentation standards, and audit posture before risk turns into penalties.
We spot patterns in coding, retrieval, and provider abrasion—and use those insights to drive continuous program improvement and smarter next-phase design.
How We Work With Health Plans
Built Into Their Systems. Structured for Accountability.
We follow plan-defined SOPs, SLAs, and file formats. Workflows align with your submission logic, coding standards, and internal review cycles—seamlessly from the start.
Daily updates keep plans informed on retrievals, turnaround, and coding progress. Monthly reviews track SLA adherence and open items—with resolution owners, not placeholders.
Our teams plug directly into your operations, QA, and escalation channels—so issues surface early, get resolved quickly, and remain fully traceable.
Services for MA Plans
Benefits for MA Plans
Optimized Financial Performance
Our accurate coding and medical record retrieval services enhance reimbursement processes, ensuring payers receive appropriate compensation.
Regulatory Compliance
We assist in navigating complex regulatory landscapes, ensuring adherence to CMS guidelines and minimizing audit risks.
Enhanced Member Satisfaction
By supporting care appropriateness and quality reporting, we help improve member experiences and satisfaction.
Scalable Solutions
Our flexible service models allow payers to scale operations efficiently, adapting to evolving healthcare demands.
Have a question?
You’re covered.
Annova offers comprehensive risk adjustment services, including retrospective and concurrent coding reviews. Our certified coders identify and validate diagnoses, ensuring accurate risk assessments and optimized revenue.
Yes, we provide HEDIS chart abstraction services, leveraging our team of experienced professionals to ensure precise data collection and reporting, thereby supporting quality improvement initiatives.
Annova is committed to data security, adhering to SOC II Type II and ISO 27001 certifications. Our stringent security protocols ensure compliance with industry standards, safeguarding sensitive information.
We offer comprehensive provider and member communication services, facilitating effective engagement strategies that enhance member satisfaction and support care appropriateness.
Absolutely. Our team has achieved unmatched completion rates in medical record retrieval, ensuring timely and efficient access to necessary records for accurate coding and compliance