Risk Adjustment & HCC CodingEnterprise
Cotiviti
Cotiviti provides advanced analytics and technology solutions for healthcare payers and health systems to improve payment accuracy, risk adjustment, and quality performance. Their solutions help organizations reduce administrative and medical waste, ensure appropriate reimbursement, and improve clinical outcomes. The company serves over 200 healthcare organizations, including the top 25 health plans in the United States.
National reach
CAPABILITIES
Payment AccuracyPayment IntegrityRisk AdjustmentRetrospective Risk AdjustmentQuality and StarsHEDIS ReportingClinical Chart ValidationMedical Record RetrievalSuspect AnalyticsFraud Waste and Abuse (FWA) DetectionData MiningConsumer EngagementContract Compliance
FACILITY TYPES SERVED
- Hospital For-Profit
- Hospital Non-Profit
TARGET CUSTOMERS
- Payer
- Health System
- Medicare Advantage Plan
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