Post-Visit Review

AI‑powered reviews that improve coding
capture, productivity and accuracy

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Post-Visit Review is part of Cotiviti’s
Risk Adjustment solution suite.

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Post‑visit coding is often a bottleneck—manual, inconsistent, and prone to missed opportunities. Coders must sift through lengthy clinical notes, reconcile documentation across multiple systems, and make judgment calls without standardized support. This leads to incomplete HCC capture, variability across coders, and increased audit exposure.


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50%

average reduction in encounters needing coder review

Post‑Visit Review uses AI and NLP to both automate and support coding efforts, bringing curated insights and an integrated platform directly into the coding workflow.

Supported by AI and NLP, Post‑Visit Review flags potentially missed, unsupported, or inconsistent diagnoses for coder review, while evidence-highlighting shows coders relevant supporting documentation to reduce review time and improve confidence. Additionally, dynamic worklists prioritize high‑value encounters, ensuring teams focus their time where it matters most. By empowering your teams with configurable workflows, evidence‑backed insights, and seamless EHR integration, Post-Visit review helps organizations maximize value while maintaining audit‑ready accuracy.

The solution provides transparency into coder actions, productivity, and financial impact, giving organizations the visibility they need to manage performance and ROI. By accelerating reviews and reducing manual effort, Post‑Visit Review helps organizations support accuracy, efficiency, and compliance while minimizing provider abrasion.

Dedicated coding services are also available to scale capabilities for capturing conditions and improving documentation in near-real-time, reducing dependence on retrospective review.

Post-Visit Review benefits

Providers can get focused and lean on Post-Visit Review for a number of its valuable features, including:

  • Health record integration: Connectivity available with major EHRs based on client configuration (including Epic, Cerner, and athenahealth) to foster scalability and reduced manual processing.
  • Seamless workflows: The platform’s guided workflows helps coders follow consistent, evidence‑backed processes, while suppression rules help prevent re‑review of accepted HCCs within the calendar year.
  • Customization possibilities: Configurable rules, role‑based access, and unique UI elements allow organizations to tailor the experience to their coding teams and compliance requirements.

What makes Post-Visit Review different?

Post‑Visit Review combines advanced NLP with a coder‑centric workflow designed for real‑world operational scale. Unlike traditional retrospective audits that occur weeks or months after a visit, Post-Visit Review enables near‑real‑time review, allowing organizations to capture value faster and reduce reliance on disruptive chart requests.

Robust reporting provides full transparency into coder actions, trends, and realized value, enabling continuous improvement. With its blend of automation, intelligence, and operational flexibility, Post‑Visit Review delivers a uniquely powerful approach to accurate, audit‑ready risk adjustment.


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