Our clinically-focused, data-driven analyses drive higher recoveries.
Once an investigation is complete, a formal report is delivered on each batch of claims in an investigated diagnosis category. Reports include the findings on overpaid claims as well as recommendations based on trends received. Recommendations include coding enhancements, provider contract enhancements, provider outreach, on-site and desk audits, unannounced audits, provider self-audits, and training sessions.
Valiant Health’s program integrity services result in the following benefits:
- Controlling Wasteful Spending
- Ensuring Compliance With the Law
- Reducing Future Claim Payments