Cotiviti is certified by CMS for the Qualified Entity Certification Program, to utilize claims data to evaluate provider practice pattern variation, appropriateness, quality, efficiency, effectiveness, and resource use.
Cotiviti has achieved HITRUST Common Security Framework (CSF®) certification for its core healthcare solutions and services. This validates that Cotiviti is committed to meeting key regulations and protecting sensitive information.
For 18 consecutive years, Quality Engine, the administrative measure logic and systematic sample processing component of Cotiviti’s Quality Intelligence solution, has earned Healthcare Effectiveness Data and Information Set (HEDIS®) Certified MeasuresSM status from the National Committee for Quality Assurance (NCQA).
Cotiviti is an Affiliate Member of America’s Health Insurance Plans (AHIP), the national trade association representing the health insurance community.
Cotiviti is a Premier Supporting Member of the National Health Care Anti-Fraud Association (NHCAA), the leading national organization focused exclusively on the fight against healthcare fraud.
Cotiviti’s Dental Claim Accuracy solution is reviewed via guidelines required by state licensing as a Utilization Management Agent and is accredited by the National Committee for Quality Assurance (NCQA) in Utilization Management.
Cotiviti is a Platinum Sponsor of RISE, the premier community for healthcare professionals who aspire to meet the extraordinary challenges posed by the emerging landscape of accountable care and government healthcare reform.
