Improve risk adjustment and HEDIS® results while minimizing provider disruption
The need for health plans to acquire, exchange, and share member medical record data to support appropriate reimbursement and sustain high-quality member care continues to increase. Despite the widespread adoption and use of electronic medical record (EMR) systems, much of this medical chart retrieval occurs via manual processes requiring faxed requests to providers and the return of medical record images via web portals, fax, and even mail. Successful medical record retrieval requires the ability to deploy many retrieval methods to meet retrieval goals, all while using resources efficiently, reducing turnaround time, and minimizing provider inconvenience.
Cotiviti’s Medical Record Retrieval services streamline medical record retrieval, aggregation, indexing, and storage. With Cotiviti, plans can achieve or exceed their retrieval targets because we use provider weighting algorithms to avoid unnecessary effort; eliminate medical record image transfer downtime; and offer full transparency into retrieval status at the request, project, and provider levels. This is why we consistently exceed the market standard in medical record retrieval
Achieve record retrieval rates typically exceeding 90 percent
Avoid unnecessary medical record retrieval effort and reduce abrasion with provider weighting algorithms
Eliminate medical record image transfer downtime
Gain transparency into retrieval status at request, project, and provider levels
A dedicated and experienced team is at the heart of Cotiviti’s Medical Record Retrieval services. Our experts have extensive experience in medical record retrieval for a wide range of mission-critical and government-required programs, including:
Each staff member receives thorough training on our retrieval management software, provider relations, and chart retrieval best practices.
Our patented record retrieval software and process ensure retrieval efficiency and low provider abrasion:
HEDIS® is a registered trademark of the National Committee for Quality Assurance.
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