Valerion

Medical Auditing Solutions

medical auditing solutions

Rigorous Audits to Optimize Operations

Benefit from a truly collaborative and educational approach to identifying areas of improvement and devising an action plan based on the findings. Our experienced and credentialed auditors are driven to create meaningful impact by working closely with your team.

Your Growth is Our Goal

Enriched by decades of experience, we understand that each business has its own set of challenges, processes and goals. That’s why ours is not a one-size-fits-all approach. We are committed to your growth and take the time to understand your organization’s needs so we can tailor the right solutions. Our medical auditing solutions can be customized to optimize your business operations. 

Less than 50% of healthcare and physician groups meet their revenue goals. Learn how to effectively identify gaps.

How You Will Benefit

what sets us apart

Some of Our Result-Oriented Actions

Prevent revenue loss through accurate documentation and coding. Find out how.

Trusted by

Critical Access & Rural Health

Provider Offices

Clinics

Small to Large Healthcare Systems

FAQs

We are committed to delivering high impact with domestic and global solutions that will allow you to maintain efficient business operations while you focus on patient care. This extends across all our solutions from auditing and medical billing to education and electronic data management. Learn more here.

We understand the importance of confidentiality and privacy in healthcare data management. As a HIPAA compliant organization, we take this responsibility very seriously by using secure internet connectivity for our operations. Our teams are also well-trained and up to date with the latest regulations so you can rest assured that your data is safe with us.

Our team of experienced professionals will work closely with your team to understand your requirements, your challenges and your processes. This collaborative approach helps us devise solutions customized to your needs. We also conduct regular performance reviews to assess the impact of our solutions.

A dedicated team of professionals is available to offer regular support and customer service should you have any questions or concerns. Fill out the Customer Support form on our contact page to get help.

Our team of skilled and experienced professionals helps address staff shortages by easing your team’s workload. We effectively identify gaps and recommend corrective measures to streamline operations. By collaborating with your team and using an educational approach, we empower your staff by increasing efficiency.

Our coding quality review and auditing support can help you effectively improve unbilled volumes by identifying coding errors, improving documentation practices, managing denials and by regularly assessing the process.

Comprehensive monitoring and analysis allows us to identify and address process and quality gaps. We combine our expertise with advanced tools to closely track coding activities and assess quality. Through meticulous analysis, we are able to successfully identify areas of improvement and recommend corrective actions.

DRG and APC audits play the all-important role of assessing whether a healthcare organization’s coding, charging, billing and information systems are accurate and consistent with the guidelines set by Medicare’s Prospective Payment System (PPS). These audits help identify any discrepancies or errors in coding that could lead to inaccurate reimbursement or compliance issues.

We thoroughly review documentation practices to ensure they support the most accurate code assignment. We also identify opportunities for optimizing your reimbursement process and reducing risk. By analyzing the MS & APR DRG data, we pay special attention to specific code status indicators —CC, MCC, ROM/SOI, PSIs, HACs and HCCs—which help us assess the complexity and severity of the conditions being coded. This comprehensive review process informs how and where documentation can be improved to better align with coding requirements.

In addition to MS & APR DRG data, we also use code status indicators such as CC, MCC, ROM/SOI, PSIs, HACs and HCCs.

CC and MCC assess complexity and affect code assignment and reimbursement while ROM/SOI determines severity and influences DRG assignment and reimbursement. PSIs highlight potential patient safety issues, triggering further investigation whereas HACs indicate conditions developed during hospitalization, impacting coding accuracy and reimbursement.

Let us Help You Create More Impact

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Hello,

It has come to our attention that certain unauthorized individuals, impersonating Valerion Health Inc., have been sending fraudulent job offers and misleading communications, including sending checks to prospective employees for setting up remote workstations.

We would like to specifically mention Blake Goss and Taylor S. Butterton, who have been falsely representing themselves as agents/recruiters of Valerion Health Inc. using the email address blake@valerionhealthcareers.com. Please note that this domain is not affiliated with our company, and any communication from such addresses should be regarded as fraudulent.

Valerion Health Inc. strictly adheres to a genuine recruitment process and does not send checks or request any form of financial involvement from candidates. Any communication suggesting otherwise is a scam.

Here are some key warning signs to help identify such fraudulent schemes:

  • Requests for checks or money transfers to “set up” remote positions
  • Emails from unauthorized domains like com
  • Job offers that seem too good to be true or are unsolicited
  • Discrepancies in company branding and communication

If you receive any suspicious offers or communications on behalf of Valerion Health Inc., please report them directly to our team at JoinUs@valerionhealth.com. We also advise anyone impacted by these scams to promptly notify the relevant law enforcement agencies. 

Stay vigilant, and together, let’s combat these fraudulent activities.

Sincerely,
Team Valerion Health Inc.

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Struggling to drive operational efficiency, improve financial performance and lower costs?

Get in touch to learn how we’ve successfully helped a variety of businesses do just this.

Don't Leave Us Yet!

Struggling to drive operational efficiency, improve financial performance and lower costs?

Get in touch to learn how we’ve successfully helped a variety of businesses do just this.

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