Leading the Way

Thanks for joining Cotiviti at RISE National 2020.

Get answers to your analytic questions

We had a great time talking about your challenges and how we might be able to help you solve them.

Researching potential healthcare analytics partners can be time-consuming, so here's a one-stop shop explaining how Cotiviti’s solutions are leading the way to better outcomes—for you, your providers, and your members.

Your challenges
Our answers

Ensuring compliant, accurate compensation for the risk burden of your members

Cotiviti’s Risk Adjustment solutions allow you to use one partner and leverage your data across the workflow to optimize both retrospective and prospective programs.

  • >$2 billion in appropriate incremental risk adjustment revenue delivered to our clients in 2019
  • >95 percent chart coding accuracy year after year
  • >98 percent acceptance for Medicare and commercial risk adjustment encounter submissions over the past three years

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Managing a jumble of software systems to support all your required quality measures

Quality Intelligence empowers you to measure and report HEDIS® and HEDIS-related metrics your way.

  • >250 measures and >20 measure sets in one solution
  • Fine-tuned chase logic to target the right providers, locations, and records
  • Full-service or self-service models to support your runs

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Low medical record retrieval rates

Cotiviti’s Medical Record Retrieval services streamline retrieval, aggregation, indexing, and storage.

  • Achieve record retrieval rates typically exceeding 90 percent
  • Avoid unnecessary effort and reduce abrasion with provider weighting algorithms
  • Gain transparency into retrieval status at numerous levels

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Poor abstraction quality hindering your HEDIS reporting

Cotiviti Medical Record Abstraction services deliver rapid, accurate abstraction of clinical data components that document the provision of compliant care.

  • >97 percent abstraction quality year after year
  • Rigorous training and QA for all team members
  • Scalable to meet your needs regardless of volume

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