How do medical organizations typically prepare for a RADV audit?

Medical organizations prepare for a Risk Adjustment Data Validation (RADV) audit primarily through conducting internal reviews of documentation. This process is essential because it allows the organization to thoroughly assess the accuracy and completeness of the medical records and ensure that they align with the claims submitted for risk adjustment purposes.

Internal reviews typically involve checking that patients' diagnoses are appropriately documented and supported by clinical evidence in the medical records. This helps identify any discrepancies or missing documentation before an external audit takes place, mitigating the risk of penalties or payment adjustments.

By focusing on documentation reviews, organizations can proactively address potential issues related to data integrity and compliance, which are critical aspects of RADV audits. This preparation step is vital in upholding the accuracy of submitted data and demonstrating adherence to regulatory requirements.

Other methods, such as random record selection or focusing only on claims data, may not provide a comprehensive view of the documentation's quality and integrity required for a successful RADV audit. Cessation of new patient intakes could hinder organizational operations without contributing to preparing for the audit.