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.

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Risk Adjustment Services

Improve coding accuracy and ensure compliance to enhance revenue integrity.

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Risk Adjustment Services

Improve coding accuracy and ensure compliance to enhance revenue integrity.

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Revenue Cycle Management (RCM)

End-to-end RCM solutions to streamline billing processes and maximize revenue.

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HEDIS/Quality Abstraction

Reliable abstraction of HEDIS and other Quality Measures to support reporting requirements and boost Star Ratings..

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HEDIS/Quality Abstraction

Reliable abstraction of HEDIS and other Quality Measures to support reporting requirements and boost Star Ratings..

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Member Engagement Services

Strategies to enhance member satisfaction, close care gaps, and improve health outcomes.

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Social Determinants of Health (SDOH)

Enhance clinical documentation accuracy for better coding and compliance.

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Social Determinants of Health (SDOH)

Enhance clinical documentation accuracy for better coding and compliance.

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USP's

Advanced Technology

We integrate cutting-edge technology and AI-driven tools to enhance efficiency, data accuracy, and operational performance

Advanced Technology

We integrate cutting-edge technology and AI-driven tools to enhance efficiency, data accuracy, and operational performance

Advanced Technology

We integrate cutting-edge technology and AI-driven tools to enhance efficiency, data accuracy, and operational performance

Advanced Technology

We integrate cutting-edge technology and AI-driven tools to enhance efficiency, data accuracy, and operational performance

Advanced Technology

We integrate cutting-edge technology and AI-driven tools to enhance efficiency, data accuracy, and operational performance

Where we make it Count

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Years of Experience

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Certified Coders

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Client Retention

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Charts Successfully Retrieved

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Charts coded in one season

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Accuracy in HCC Coding

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Blogs

The Latest in Medicare Advantage: What You Need to Know (April 2026)

The Latest in Medicare Advantage: What You Need to Know (April 2026)

For those of us working in Medicare Advantage, springtime brings a sense of anticipation, as the annual events that shape our industry begin to ramp up. Just ten days after everyone returned from RISE National in Orlando, CMS dropped two…

OIG’s 2026 Medicare Advantage Oversight Priorities: What Health Plans Need to Know

OIG’s 2026 Medicare Advantage Oversight Priorities: What Health Plans Need to Know

Megan Tinker, Chief of Staff at HHS OIG, delivered the closing keynote at RISE National 2026. The OIG has expanded its oversight of Medicare Advantage significantly, and the data she brought to the stage made clear that this shift in…

Risk Adjustment: The Fastest Lever to Improve Medicare Advantage MLR within one Year

Risk Adjustment: The Fastest Lever to Improve Medicare Advantage MLR within one Year

When Medical Loss Ratio starts to deteriorate, Medicare Advantage leaders face a familiar frustration. The pressure is immediate, but most of the levers available to address it move slowly. Benchmarks are already set.Premiums are locked in.STAR revenue timing is fixed…

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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.