Medical Record Retrieval is part of Cotiviti's
Risk Adjustment solution suite.
Health plans need to acquire, exchange, and share large volumes of clinical data to support appropriate reimbursement and drive quality member care. A successful retrieval solution operates efficiently at scale and allows health plans to conduct outreach in a coordinated, minimally intrusive manner that meets providers where they are.
"Our Cotiviti partnership continues to be outstanding from preparation of the upcoming season to the end of Medical Record Retrieval"
-Cotiviti client, Blue health plan
Cotiviti deploys a range of capabilities to meet providers' preferences for retrieval methods and for accurate record location. Our digital-first approach helps streamline outreach efforts, with a range of tactics to overcome barriers and achieve project completion. Achieve optimal retrieval strategies and achieve stronger results thanks to our long-term expertise, expert processes, and data management on provider preferences and performance.
Medical Record Retrieval also prioritizes interoperability. Plans benefit from high-quality data sourced from a growing network of hospital connections, health information exchanges (HIEs), and EMR vendors. Our strategic digital data partnerships and network management help increase the number of charts captured digitally, obtaining clinical data in the C-CDA r2.1 or FHIR format.
providers in our curated proprietary database
risk retrieval rate for MA plans
Average HEDIS retrieval rate
Gain retrieval efficiency and lower provider abrasion with our proprietary record retrieval software and processes, with features that include:
HEDIS® is a registered trademark of the National Committee for Quality Assurance.
Cotiviti's Medical Record Retrieval solution gives health plans key benefits that differentiate us from the competition: