Healthcare Compliance

Medical Risk Adjustment Compliance
Risk Adjustment Oversight
Our team of professionals have served as the Initial Validation Auditor (IVA), developed risk adjustment policies and procedures for the largest healthcare payers, and conducted numerous Risk Adjustment Data Validation (RADV) audits. We have completed end-to-end assessments of coding and data submission productivity, QA controls, and information governance for risk adjustment audits for government and commercial health plans.
- Payors: Our efforts have included coordination of risk adjustment audits for Medicare, Medicaid, and Commercial plans.
- Providers: We have supported providers with qui tam and government investigation defense, proactive reporting of EHR system errors, training of coding and physician staff, and review of internal policies and coding guidelines.
To learn more, see our blogs on Risk Adjustment or reach out to James Rose, Sam Cunningham, or Lorraine Aniello
Testimonials
Get In Touch
SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
Sign up for Our Newsletter
Your information is private and will NEVER be shared outside of SunHawk Consulting.