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

Why High MLR in Medicare Advantage Is a Revenue Problem, Not Just a Cost Problem

Why High MLR in Medicare Advantage Is a Revenue Problem, Not Just a Cost Problem

Rising Medical Loss Ratio is one of the most pressing challenges facing Medicare Advantage plans today. With shrinking margins, rising utilization, and increasing regulatory scrutiny, many plans feel the pressure to act fast. The most common responses are predictable and,…

Bridging Silos: How Quality and Risk Adjustment Teams Can DriveShared Outcomes in Medicare Advantage

Bridging Silos: How Quality and Risk Adjustment Teams Can DriveShared Outcomes in Medicare Advantage

Bridging Silos: How Quality and Risk Adjustment Teams Can Drive Shared Outcomes in Medicare Advantage In the evolving Medicare Advantage landscape, plans are under unprecedented pressure to do more with less. They must demonstrate superior clinical outcomes, deliver exceptional member…

CMS 2027 Medicare Advantage Proposed Rule Explained: What Health Plans Need to Know and Why It Matters

CMS 2027 Medicare Advantage Proposed Rule Explained: What Health Plans Need to Know and Why It Matters

On November 28 2025, the proposed rule for Contract Year 2027 Medicare Advantage and Part D was published in the Federal Register. The rule addresses several areas of the Medicare Advantage program, including Star Ratings, Part D benefits, dual eligible…

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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.