From risk adjustment and HEDIS to medical coding and revenue cycle management — Valiant Lifecare delivers the specialized clinical and financial expertise your organization needs to maximize revenue, close care gaps, and stay ahead of compliance.
Healthcare organizations face mounting pressure to improve financial performance while tightening compliance and quality scores. Valiant Lifecare solves both challenges simultaneously through a deeply integrated service model built by specialists — not generalists.
Six specialized programs designed to close coding gaps, accelerate revenue cycles, and achieve measurable quality outcomes for hospitals, physician groups, and specialty practices.
Close care gaps, improve Star Ratings, and meet NCQA standards with end-to-end HEDIS management — gap identification, outreach, abstraction, and supplemental data submission.
Capture accurate HCC codes, optimize RAF scores, and ensure complete documentation across every encounter with prospective and retrospective review workflows.
Accelerate collections, reduce denials by 25–30%, and maximize net revenue with full-spectrum RCM services tailored to your specialty.
AHIMA and AAPC certified coders delivering inpatient, outpatient, and professional fee coding with audit-ready documentation and 95%+ accuracy.
Fast, accurate medical record retrieval at scale — supporting audits, risk adjustment, and quality programs with 99.7% success rate across electronic, fax, and on-site modalities.
Expand care reach and capture CPT 99453–99458 revenue streams with a fully managed, turnkey RPM platform requiring zero capital investment.
End-to-end revenue, quality, and compliance solutions purpose-built for Medicare Advantage, Medicaid, commercial plans, TPAs, MSOs, IPAs, and ACOs.
Comprehensive HCC capture, retrospective and prospective reviews, and RAF optimization — recovers 10–20% in uncaptured risk revenue on average.
HEDIS medical record abstraction, gap closure strategies, and quality improvement programs designed to elevate Star ratings by 0.5–1.0 stars within two measurement years.
Rigorous clinical abstraction by certified coders and nurses ensuring data completeness, accuracy, and regulatory compliance across all programs.
High-volume chart retrieval with a 99.7% success rate. Direct EMR access agreements, provider relationship management, and full audit trail documentation.
End-to-end member engagement — care gap outreach, AWV scheduling, enrollment support, and care coordination that improves outcomes and strengthens retention.
Accurate, CMS-compliant provider directory management — credentials, specialties, locations, and contract data verified against CAQH, NPPES, and state licensing boards.
Every Valiant Lifecare engagement follows a proven four-phase model that begins with deep discovery and ends with measurable, sustained outcomes.
We analyze your current workflows, payer mix, coding patterns, denial trends, and quality gaps to establish a precise baseline and identify highest-value opportunities.
We build a custom implementation roadmap with defined deliverables, timelines, technology integrations, and KPIs — aligned to your specific objectives.
Our certified specialists deploy agreed workflows, integrate with your EMR and billing systems, and assume full operational responsibility with minimal disruption.
We deliver transparent reporting dashboards, monthly business reviews, and continuous optimization — turning data into decisions that compound performance over time.
Numbers that reflect real outcomes — measured across active Valiant Lifecare engagements with providers and health plans nationwide.
From independent physician groups to large health systems and Medicare Advantage plans — Valiant Lifecare scales to meet your needs.
Schedule a free consultation with a Valiant Lifecare specialist. We'll assess your current performance, identify your highest-value opportunities, and design a custom engagement roadmap — at no cost.
Valiant Lifecare is exclusively focused on healthcare — we do not serve other industries. Every member of our team is a domain specialist: certified coders (AHIMA/AAPC), registered nurses, risk adjustment experts, or revenue cycle professionals. This exclusive focus means deeper institutional knowledge, better compliance, and faster time-to-value than generalist BPO firms. Combined with our 80% workflow automation rate and transparent performance reporting, clients see measurable financial improvement within 60–90 days of engagement.
Most engagements are fully operational within 2–4 weeks of contract signing. Our onboarding process includes EMR access setup, payer credentialing review, workflow documentation, and staff orientation — all managed by a dedicated implementation team. For urgent situations such as coder shortages or denial crises, we can deploy resources within 5–7 business days.
Data security is foundational to our operations. Valiant Lifecare maintains a comprehensive HIPAA compliance program including: signed Business Associate Agreements (BAAs) with all clients, encrypted data transmission via SFTP and secure API connections, role-based access controls limiting PHI exposure to only necessary personnel, annual HIPAA training for all staff, and third-party security audits. We operate on SOC 2 aligned infrastructure.
Yes. Many of our clients are integrated delivery networks or delegated entities that operate on both sides of the payer-provider relationship. We can simultaneously manage provider-side revenue cycle and coding while also supporting the plan's HEDIS abstraction, risk adjustment reviews, and chart retrieval programs — with separate account management to ensure each engagement is optimized independently.
We have established integrations with all major EMR platforms including Epic, Cerner, Meditech, Allscripts, eClinicalWorks, athenahealth, Greenway, NextGen, and AdvancedMD, as well as practice management systems such as Kareo, CollaborateMD, and DrChrono. For health plans, we integrate with leading care management and population health platforms.
Pricing varies by service line and engagement scope. Revenue cycle management is typically priced as a percentage of collections (3–8% depending on complexity), while coding, HEDIS abstraction, chart retrieval, and other project-based services are priced on a per-unit or monthly retainer model. For health plans, risk adjustment programs may include a performance-based component tied to validated RAF improvements. All pricing is transparent with no hidden fees.
