Cotiviti Completes Acquisition of Edifecs.
Read the press release.
Retrospective Review is part of our
Risk Adjustment solution suite.
Coding oversights are a risk for any healthcare organization. Over time, errors add up, making it harder for health plans and providers to identify risk-adjustable opportunities, intervene early, and deliver the best possible care quality and outcomes.
Up to
Increase in coder productivity*
Retrospective Review is a coding platform that helps healthcare organizations maximize their coding productivity by leveraging natural language processing (NLP) and machine learning to more effectively identify missed or potentially mis-coded conditions.
Our SaaS-based platform further drives accuracy by analyzing structured and unstructured clinical data and combining it with claims information to deliver a more accurate and comprehensive picture of population disease burdens.
Charts with conditions not represented on claims or coded outside of standard CMS guidelines are isolated, evidence is prioritized to help ensure coders only review relevant documentation, and confidence scoring ensures only the most likely suggestions are surfaced.
By improving coding precision, supporting compliant risk capture, and directing resources to the highest‑value opportunities, Cotiviti’s Retrospective Review helps improve efficiency, enhance compliance, and strengthen financial performance across your organization.
Improve workflow efficiency to help your team handle more reviews:
Leverage NLP to highlight and correct coding and documentation discrepancies:
Gain confidence in coding and documentation accuracy:
