Annova Solutions Corp

Annova Solutions Corp gives health plans and providers a reliable path to stronger risk adjustment performance through accurate, compliant medical coding. Based in Colorado Springs, CO, the company works as an outsourcing partner for organizations that need specialized risk adjustment support across Medicare (Parts C & D), ACA marketplace, and Medicaid programs. For many organizations, building and maintaining an in-house coding team with this depth of expertise is not practical. Annova fills that gap. The company's core service is risk adjustment coding delivered through both retrospective and prospective chart reviews. Retrospective reviews identify coding gaps after care has been rendered, while prospective reviews help organizations address documentation accuracy before encounters close. Annova also provides RADV (Risk Adjustment Data Validation) audit compliance support, helping clients prepare for and respond to CMS audits with the documentation quality required. Revenue integrity services complete the offering, ensuring that submitted diagnoses reflect true clinical complexity and that reimbursement aligns accordingly. Annova's primary clients are health plans managing Medicare Advantage, ACA, or Medicaid risk pools, alongside provider organizations that need reliable HCC (hierarchical condition category) coding. These are organizations under ongoing regulatory pressure from CMS, where submission accuracy directly affects financial outcomes. Outsourcing this function to a specialized healthcare BPO partner reduces the internal burden while adding expert review at every stage of the process. The coding team works to AAPC professional standards and operates under HIPAA and HITECH compliance frameworks, alongside CMS program requirements. Annova integrates proactive compliance monitoring and data security measures throughout the review process, and internal audits are a standard part of how the company manages submission quality and reduces audit exposure for clients. For health plans or providers looking to strengthen their risk adjustment programs through a focused back-office outsourcing engagement, Annova Solutions is worth a conversation. Visit their website to discuss an upcoming review cycle or audit preparation need.