HCC Validator confirms each diagnosis meets MEAT criteria in real time — so your documentation is audit-ready by default, not reconstructed after a CMS notice lands.
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RADV audit preparation software checks that every coded diagnosis is properly supported in the record before it’s submitted for risk adjustment.
Inferscience’s HCC Validator does this in real time — confirming each HCC meets MEAT criteria (Monitor, Evaluate, Assess, Treat), flagging any that don’t, and linking every code to its source documentation. The result is a defensible audit trail you can produce on demand, rather than a retrospective chart chase after a CMS notice.
Errors are caught before they enter the claim stream, and again before they ever reach an auditor.
Every HCC checked against MEAT criteria while it can still be corrected at the source.
Every code links to its source documentation, so you demonstrate support on demand.
Spot OIG high-target and high-risk codes before they trigger CMS recoupment.
A consistent, defensible coding library that shows regulators proactive oversight.
As CMS phases out unlinked chart review as a submission path, every HCC has to trace to a documented, MEAT-supported encounter. HCC Validator enforces that link at the point of care and flags any diagnosis that can’t stand on its own — keeping your risk adjustment defensible under CMS-HCC V28, now at 100% for payment year 2026.
A RADV (Risk Adjustment Data Validation) audit is CMS’s review of whether submitted diagnoses are supported in the medical record. The best preparation is to validate HCCs before submission — HCC Validator maintains a compliance-ready coding library, links every code to its source documentation, and generates audit packages so support can be demonstrated on demand.
MEAT stands for Monitor, Evaluate, Assess, and Treat — the documentation standard showing a diagnosis was actively addressed during an encounter. HCC Validator checks each HCC against MEAT criteria automatically and prompts for supporting detail when it’s missing.
Concurrent validation happens during documentation, giving providers real-time feedback to fix or add support before a code is submitted. Retrospective validation reviews already-submitted codes to catch MEAT deficiencies and flag audit risk. HCC Validator does both.
By confirming every HCC is MEAT-supported before submission and flagging OIG high-target and high-risk codes, HCC Validator keeps unsupported diagnoses out of the claim stream and builds a defensible, source-linked audit trail so supported codes hold up under review.
Yes. HCC Validator is maintained against the current CMS-HCC V28 model, which reached 100% implementation for payment year 2026, and validates documentation against V28’s tightened support requirements.
HCC Validator is built for health plans, provider organizations, and ACOs in Medicare Advantage and value-based arrangements that need to reduce audit exposure and protect risk-adjusted revenue. It works alongside HCC Assistant, which handles real-time coding at the point of care.
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