Learn · Medicare · RADV · Ava
Ava is rehearsal. Not adjudication.
Think of Ava as a RADV dress rehearsal that never stops. It does not move money. It makes sure that when CMS picks the sample, the proof is already sealed.
The workbench
SIU work-queue ranking. Documentation-support calibration. Sample-size stress tests. Foresight candidates. All in shadow. Intervention never auto-onboards.
Future-proof without overselling
V28, MEAT, and B11 extrapolation are coded and held off. When CMS or a court gate closes, the same workbench turns the flag on. You do not buy a new product. There is no separate Ava Pro SKU. You do not pay a new rate. Healthcare PI is MCO 5 bps / hospital 0.25% NPR / hospice 1%.
Where to look
FAQ
Is Ava a fifth engine?
No. It drafts RADV profiles of CREB, AREB, PIEB, and RREB.
Is there an Ava Pro SKU?
No. One agentic product. There is no separate Ava Pro SKU.
Does the 5 bps change when V28 turns on?
No. Same OPEX rate. Flags stay off until an engagement activates them.