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Hedis

Comprehensive Non-Standard Data and Exclusion Analysis by Certified Coders and Practicing Clinicians

Risk Adjustment

Pre-visit summaries, concurrent review, retrospective audits, and provider education—all with guaranteed compliance.

Document Extraction

AI-driven document extraction converts unstructured medical records into actionable data, streamlining healthcare workflows.

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Our risk adjustment solution offers comprehensive, end-to-end support that spans the entire coding lifecycle. From detailed pre-visit summaries and concurrent coding to meticulous retrospective reviews, every step is executed in strict alignment with your specific coding guidelines and verified by certified coders. Additionally, we provide provider education and conduct thorough audits of outputs from existing vendors, ensuring that all coding is compliant and reflects best practices. This comprehensive approach not only facilitates the accurate capture of patient risk profiles but also drives optimal resource allocation, enhanced quality outcomes, and improved reimbursement strategies.

Our HEDIS service combines cutting‐edge AI with the clinical expertise of practicing clinicians and certified coders to deliver a thorough review of clinical charts. We not only identify gaps in care—such

as those related to blood pressure control, medication reconciliation, screenings, and assessments—but also pinpoint exclusion criteria to accurately remove measure denominators. This dual focus ensures that every metric is both precise and actionable, empowering health plans to drive quality improvements and meet performance benchmarks effectively.

Our AI-enabled document extraction service transforms unstructured medical records into precise,

actionable data across a broad spectrum of clinical and administrative needs. In addition to core

services such as medication reconciliation and converting paper claims to EDI, we can extract lab

reports, imaging results, discharge summaries, referral letters, appointment records, eligibility

verifications, and more. This adaptable solution is designed to meet the evolving requirements of health plans, ensuring you receive comprehensive data to streamline workflows and enhance decision-making.

About Us

Valley Steer builds value-based care infrastructure for providers, health plans, and other risk bearing entities with minimal workflow and technology changes to their existing infrastructure. We use machine learning (ML) / artificial intelligence (AI) and a dedicated team of operations and clinical staff to generate structured, clinically rich data and align payment acceleration incentives with minimal capital expenditures for our customers.

Our experienced executive team collectively has spent over five decades operating in a multitude of managed care, capitated primary care, clinical operations, and revenue cycle management environments.

Address

56 Broad St Suite 14057
Boston, MA 02109

Email

info@valleysteer.com