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
Blogs
Decoding RADV Audits: A Comprehensive Guide for Health Plans in 2025
Home The landscape of Risk Adjustment Data Validation (RADV) audits is shifting rapidly. With CMS doubling the number of audits and eliminating past leniencies, health plans must be proactive, not reactive. Here’s a deep dive into what’s happening, why it…
CMS-HCC V28 Overview: What Medicare Advantage Plans Need to Know
Home The Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Categories (HCC) model plays a crucial role in risk adjustment for Medicare Advantage (MA) and other health plans. CMS recently released Version 28 (V28) of the CMS-HCC model, which…
How to Succeed in ACO Implementation: Essential Strategies and Insights
Home Accountable Care Organizations (ACOs) are at the forefront of healthcare’s shift toward value-based care, aiming to enhance patient outcomes while effectively managing costs. To achieve these ambitious goals, ACOs must adopt comprehensive strategies that extend beyond traditional patient care.…
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.