Trusted by health plans that set the standard
Supporting healthcare leaders with complete, high-accuracy
workflows — from chart retrieval to risk adjustment and beyond.
Trusted by health plans that set the standard
Supporting healthcare leaders with complete, high-accuracy
workflows — from chart retrieval to risk adjustment and beyond.
Empowering Payers & Providers for Peak Performance
Annova Solutions delivers expert risk adjustment coding across Medicare, ACA, and Medicaid—retrospective to prospective. We ensure accuracy, compliance, and stronger outcomes by boosting Star Ratings, enhancing member experience, and driving operational excellence.
Partners in Care
At Annova Solutions, we serve a diverse range of healthcare organizations, each with unique needs:
Health Plans
We help payers optimize risk adjustment, improve data accuracy, and streamline operations for better financial outcomes.
Providers
We support providers in enhancing care quality, ensuring compliance, and improving revenue cycle performance.
Accountable Care Organizations (ACOs)
We empower ACOs to close care gaps, boost patient engagement, and achieve value-based care goals.
Our Services
Record Retrieval
Secure, efficient, and compliant record retrieval solutions tailored to meet diverse client needs.
Risk Adjustment Services
Improve coding accuracy and ensure compliance to enhance revenue integrity.
Risk Adjustment Services
Improve coding accuracy and ensure compliance to enhance revenue integrity.
Revenue Cycle Management (RCM)
End-to-end RCM solutions to streamline billing processes and maximize revenue.
HEDIS/Quality Abstraction
Reliable abstraction of HEDIS and other Quality Measures to support reporting requirements and boost Star Ratings..
HEDIS/Quality Abstraction
Reliable abstraction of HEDIS and other Quality Measures to support reporting requirements and boost Star Ratings..
Member Engagement Services
Strategies to enhance member satisfaction, close care gaps, and improve health outcomes.
Social Determinants of Health (SDOH)
Enhance clinical documentation accuracy for better coding and compliance.
Social Determinants of Health (SDOH)
Enhance clinical documentation accuracy for better coding and compliance.
USP's
Where we make it Count
Years of Experience
Certified Coders
Client Retention
Charts Successfully Retrieved
Charts coded in one season
Accuracy in HCC Coding
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Blogs
OIG’s 2026 Compliance Guidance Draws a Hard Line on AI in Risk Adjustment Coding
For the past three years, AI has been the most overused word in Medicare Advantage vendor conversations. Every coding platform has it. Every sales deck leads with it. Every conference panel ends up on it. Health plan executives have sat…
OIG finally set the terms for RA vendor governance. What does it mean for Your Program?
Most health plans govern their risk adjustment coding vendor the same way they always have. The contract is signed, charts move, and codes come back. Whether anyone inside the plan has genuine visibility into what the vendor is actually doing,…
Where RADV Audit Exposure Actually Builds: The 7 Coding and Documentation Patterns Behind Most Audit Failures
Most health plans treat audit findings as coding errors. The exposure was built months earlier, in workflows coding QA never touches. We reviewed more than ten OIG Medicare Advantage audit reports and worked through over 800 pages of findings, methodology…
Workflows that think ahead - Start Ahead
From chart retrieval to risk adjustment, Annova delivers precision-driven support that simplifies your operations and strengthens your outcomes.