Concurrent Risk Review
Real-time chart review during inpatient and outpatient episodes to capture undocumented or under-documented diagnoses before claims are finalised.
Accurate risk scoring is the foundation of sustainable performance. Valiant Lifecare combines clinical expertise, data-driven insights, and precise documentation workflows to uncover missed conditions, validate coding, and secure defensible RAF.
Real-time chart review during inpatient and outpatient episodes to capture undocumented or under-documented diagnoses before claims are finalised.
Proactive chart screening and outreach to identify missed HCCs and close documentation gaps ahead of submission cycles.
Comprehensive retrospective abstraction and validation to capture missed diagnoses and support RAF reconciliation and appeals.
Coder-led HCC validation linked to clinical documentation improvement recommendations and coding correction workflows.
Data-driven RAF modeling and scenario planning to quantify impact, forecast revenue, and prioritise outreach.
Targeted education, feedback loops, and query programs to align provider documentation with coding and risk objectives.
Secure, HIPAA-compliant chart retrieval across EMRs, specialists, and facilities to support reviews and audits.
Preparation, response management, and remediation planning for internal and payer audits related to risk adjustment.
Interactive dashboards, RAF trend analysis, HCC capture heatmaps, and performance KPIs for stakeholders.
Claims and clinical triggers identify charts for review.
Secure acquisition of medical records and supporting documentation.
Nurse/clinician abstraction for HCC-relevant conditions.
Coder verification and HCC validation mapped to coding rules.
Structured queries and feedback to close documentation gaps.
Quantify impact, update registries, and report to stakeholders.