- Clinical Documentation Analysis
- Risk & Revenue Intelligence
- Missed Risk & Opportunity Capture
Unlock Hidden Risk. Strengthen RAF. Secure Revenue.
With Risk Adjustment Optimization, Valiant Lifecare performs a comprehensive audit of your entire member or patient population — reviewing EHRs, clinical documentation, HCC coding, and care intensity patterns. The goal: identify risk that went unreported, correct documentation gaps, and ensure every eligible condition is captured and coded properly. The outcome — improved risk scores, compliant claims, and optimized financial performance.
What We Provide
Clinical Documentation Analysis
Deep review of EHRs, encounter notes, treatment history and care intensity to detect unreported or under-documented chronic conditions.
HCC Gap Mapping & Remediation
Compare recorded diagnoses vs. potential HCC-relevant conditions to find missing codes and documentation gaps.
Clinical Documentation Improvement (CDI)
Provide guidance, templates and physician education to improve initial documentation quality and support coding accuracy.
Population-Risk Reporting & Analytics
Generate actionable population-level reports on risk distribution, missing conditions, and revenue-impact opportunities.
RPA-Assisted Risk Capture
Leverage automation to scan through charts and detect potential undocumented conditions, reducing manual workload and human error.
Contract & Payer Readiness Insight
Provide data-driven insight to support payer negotiations, risk pool audits, and documentation compliance for capitated contracts.
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How Our Optimization Process Works
Our methodology is designed to be comprehensive, repeatable, and integrated — ensuring risk optimization does not disrupt existing workflows but enhances them. Each step is aimed at uncovering risk, validating documentation, and enabling sustainable coding accuracy and financial performance.
Data & Documentation Intake
Gather full EHRs, encounter records, lab/imaging, treatment history, and claims data across population.
Risk Gap & HCC Mapping
Analyze records for potential unreported conditions that meet HCC criteria but are undocumented or miscoded.
Documentation Quality Review
Evaluate notes for clinical support, MEAT/TAMPER compliance, and completeness for risk validation.
CDI & Provider Feedback
Provide structured feedback, documentation templates, and clinician education to remedy gaps.
Automation & RPA Scans
Run bots to detect potential missed conditions and flag charts for human review.
Aggregate Risk & Revenue Reporting
Produce reports showing recovered risk, revenue uplift potential, and compliance readiness.
Ongoing Monitoring & Audit Resistance
Set up regular audits, documentation reviews, and risk-capture cycles for continuous optimization.
Speak With an Expert
Improve Your Operational Outcomes. Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.
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