Cotiviti Completes Acquisition of Edifecs.
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Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States.
Cotiviti works with more than 200 healthcare payers, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. We take in billions of clinical and financial data points, analyze them, and help our clients discover ways they can improve efficiency and quality to better care for their members.
Through our partnership with health plans, Cotiviti helps consumers to protect their benefits by working to ensure their healthcare bills are paid appropriately and reduce fraud, waste, and abuse. Our solutions are not leveraged to deny care or question the medical determinations of providers, but rather to help avoid paying erroneous claims that unnecessarily inflate healthcare spending. These solutions help to save the healthcare system over $8 billion a year in billing errors that could lead to over payment.
In addition, Cotiviti supports the retail industry with audit and recovery services in order to increase their efficiency and ensure alignment on strategy and resource allocation.
Our vision is to enable a high-quality and viable healthcare system. Our mission is to improve the healthcare system through our combination of advanced technology, data analytics, and specialized expertise. Click the tiles below to learn more.
Our dynamic, integrated SaaS solutions deliver speed and precision across payment integrity, risk adjustment, quality improvement, and member engagement programs while minimizing internal resource burden.
Our unique data and analytics ecosystem enables our clients to maximize the insights derived from both their financial and clinical data to drive better care at lower cost.
Our specialized and talented teams work in tandem to help ensure operational efficiency across our enterprise and that our services are delivered with high accuracy, exceeding industry standards.