Services

Medicare Data Validation (MDV) Pre-Assessment Consulting

Advent helps Part C and Part D plans assess readiness and prepare for MDV to achieve the best results in the annual audit.

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Medicare Advantage Star Ratings Support

Advent helps you chart a sustainable course to improve star measure scores that will help you grow your business.

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Initial Validation Audit (IVA) and Support

Get the expertise you need to meet HHS-RADV audit requirements, submit accurate risk adjustment data and improve financial performance.

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HEDIS® Compliance Audit™ and Support

Advent’s technical expertise and innovative audit processes enable clients to report the best, most accurate rates with increased efficiency and decreased burden.

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Medicare Part C and Part D Data Validation and Support

Advent exceeds CMS data contractor standards and has conducted Part C and Part D audits since the beginning of the audit program.  Each year, Advent performs over 20% of all Medicare Part C and D data validation audits nationally.

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Marketplace Quality Rating System (QRS) Audit and Support

Advent is conducting audits of organizations required to submit data to the Centers for Medicare & Medicaid Services (CMS) under the Affordable Care Act (ACA).

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Pay for Performance (P4P) Audit Reviews

Advent’s Pay for Performance (P4P) audit review clients include 40% of participating health plans and approximately 15% of the total P4P submissions.

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Wellness and Health Promotion (WHP) Audit

Nationwide, only four organizations conduct Wellness and Health Promotion (WHP) audits, and Advent audits 68% of these submissions.

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Accountable Care Organization (ACO) Audit and Support

ACOs must achieve better patient experiences, better health outcomes and lower per capita costs.  Advent is prepared to provide consulting services and conduct their data audits.

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Patient-Centered Medical Home (PCMH) Support

Advent’s expertise with provider organizations fosters their ability to increase patient care coordination and potentially improve care quality and lower costs.

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).

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