Navigating the unknown has never been so important for payers and their payment integrity programs as it is now. That’s why they need the right strategic partner to help.
Cotiviti provides health plans with the resources, analysis, and strategies to pay claims more accurately, taking the administrative burden off their shoulders with our complete and continuously updated portfolio of pre-pay and post-pay solutions—delivering proven results. Watch this short video to learn more.
Payment integrity leadership requires experience, scalability, innovation, and proven value. Cotiviti has spent 20+ years honing our solutions specifically to drive exceptional value for our clients all along the claim payment life cycle.
More savings opportunities
in medical cost savings delivered in 2019*
Faster path to value
days until identification of savings begins**
Greater breadth and depth of analytics
of payment rules, policies, and concepts spanning prospective and retrospective intervention points
A trusted partner
21 of the top 25
national payers are clients, with nearly 100 unique payer clients total
* Based on recent, actual client-accepted savings across our portfolio. Individual organization results will vary based on client acceptance of identified opportunities and policies.
** Some Cotiviti post-pay solutions are able to start identifying savings 8–12 weeks from receipt of a valid data file. Payment Policy Management averages about 150 days for real-time implementation, depending on client resources.
Improve payment integrity and speed-to-value all along the continuum
Identify millions of dollars in prospective payment savings
Reduce costs from clinically complex claims
Reduce the cost of inappropriate dental claims
Identify and validate potentially fraudulent or abusive claims prior to payment
Save 1 to 2 percent of DRG spend with comprehensive medical record review services
Realize 80 percent of overpaid findings as cost savings
Save medical costs by finding undetected billing compliance issues
Recover an average 16 percent more with contract data alone
Detect and deter fraud, waste, and abuse (FWA) for up to 15:1 ROI