Clean Claims Coding
CPT, ICD-10, HCPCS coding with payer-edit compliance to minimise downstream denials.
Valiant Lifecare delivers turnkey medical coding services for payers, including HCC/risk coding, DRG validation, E/M assignment, claim-clean coding, and audit-ready workflows that ensure accuracy and compliance.
CPT, ICD-10, HCPCS coding with payer-edit compliance to minimise downstream denials.
Chart-based HCC coding, RAF optimisation, and risk-adjustment audits.
Accurate DRG assignment and validation, supporting inpatient claims and audits.
Retrospective and prospective coding audits, NCCI compliance checks, and medical necessity reviews.
Code-level denial root-cause analysis, appeals support, and re-submission workflows.
Flexible outsourcing models — full or partial — to clear backlog or support overflow coding.
Auditable coding aligned with payer regulations, coverage rules, and compliance requirements.
Tailored coding workflows, rule-sets, and integration with payer adjudication systems.
Receive claims data, charts, provider records, and documentation securely.
Eligibility, benefit rules, and documentation completeness check.
CPT, ICD-10, HCPCS, DRG, HCC and risk codes applied with payer logic.
Secondary review, compliance checks, and audit trails.
Code-level validation to prevent denials and ensure documentation supports coding.
Clean claim submission, coding logs, and analytics-ready outputs.