Find the Care Gaps and HCCs Your Plan Is Missing
Two minutes to request. No obligation, just an independent, chart-level view of your quality and coding accuracy.
Open HEDIS gaps cost Star Ratings and quality bonuses. Unsupported HCCs create RADV exposure, and missed conditions understate member risk. Our free review samples your charts and shows exactly where each is happening.
- Covers
- HEDIS hybrid measures and CMS-HCC V28 two-way coding
Request Your Free Gap Review
A specialist follows up personally, no bots involved.
You're all set.
A quality and risk adjustment specialist will reach out within 1 business day.
Built for health plan quality and risk adjustment teams
How We Help Health Plans
Valiant Lifecare supports health plans with HEDIS medical record review, chart retrieval, and retrospective, prospective, and concurrent risk adjustment coding, delivered by credentialed teams under HIPAA-compliant controls.
Close Care Gaps
We find hybrid measure evidence that is in the chart but not captured, so it counts toward your HEDIS rates.
Reduce RADV Risk
We flag submitted HCCs that the documentation does not support, before an audit does.
Capture True Risk
We identify documented conditions that were never coded, so member risk scores reflect reality.
What You'll Walk Away With
Three deliverables, written for you, not for a file cabinet.
HEDIS Gap Summary
Measure-by-measure findings from the sample: gaps closed by chart evidence, and gaps that remain open.
HCC Accuracy Findings
Adds and deletes by HCC category under V28, with the documentation reason for each.
Prioritized Action Plan
Where to focus retrieval, provider education, and coding review first, based on what the sample shows.
How It Works
Share a few details
Fill out the short form above, about two minutes.
Chart review
Credentialed abstractors and coders review an agreed sample of charts, with QA over-read on every finding.
Get your findings
A written summary and a walkthrough call, with no pressure to sign anything.
See the Difference, Then Ask Us Anything
How an independent review compares to relying on internal teams alone, and the questions plans ask most.
Internal Only vs. Independent Review
Ready to see your numbers? Request your free gap review ↑
Frequently Asked Questions
Is the gap review really free?
Yes. There is no cost and no obligation. We review a sample of member charts and coded encounters and share what we find, including measure-level and HCC-level observations.
What does the review cover?
Two things: HEDIS, where we look for open care gaps and hybrid measure documentation that is in the chart but not captured, and risk adjustment, where we check whether submitted HCCs are supported (MEAT) and whether documented conditions were missed, under the CMS-HCC V28 model.
What do we need to provide?
Just your name, work email, phone number, and plan name to begin. A specialist then agrees the sample size and arranges secure, HIPAA-compliant access to charts or a data extract, under a Business Associate Agreement and NDA.
How long does it take?
You hear from a specialist within one business day. Most reviews are completed within two to three weeks of data access, depending on sample size and chart retrieval.
Is this two-way coding?
Yes. We report both adds (documented, uncoded conditions) and deletes (submitted HCCs the documentation does not support). Two-way review is the defensible approach for RADV exposure.
Who is this for?
Medicare Advantage, ACA marketplace, and Medicaid managed care plans, plus risk-bearing provider groups and ACOs that want an independent view of quality and coding accuracy.
Still have questions? Call 1-800-782-1768
See Where Your Plan Stands on Quality and Coding Accuracy
Here's exactly what happens after you submit the form:
Prefer to talk first? Call 1-800-782-1768