Second Level Review

Expertise and technology combine to
improve coding results

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Second Level Review is part of Cotiviti's
Risk Adjustment solution suite.

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Regulatory scrutiny of risk adjustment continues to intensify and evolve, along with ever-changing trends and guidelines. Supporting accurate data and documentation practices is essential to staying compliant while improving member care.


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100%

of medical records reviewed by our coders

Drive a higher level of coding accuracy and compliance with Cotiviti's Second Level Review.

Second Level Review combines technology and expert services for better results, integrating natural language processing (NLP) automation and expert-led quality assurance to review first-pass coding. Focusing on improving the results of the first-pass review, we help plans identify appropriate incremental coding opportunities from overlooked diagnoses, as well as unsupported conditions that need correction. This approach supports accurate capture of population risk while strengthening compliance.

Balancing technology with human expertise

Unlocking business value requires a combination of technological innovation and human expertise. Our Second Level Review combines NLP with human oversight and an in-depth understanding of trends and best practices to help deliver quality results. After leveraging NLP to prepare records for expert analysis, our coding experts validate 100% of findings to deliver the most accurate results, and dedicated reporting provides transparency into outcomes.

What makes Second Level Review different?

Working with Cotiviti Second Level Review can give your plan the support it needs to enhance coding accuracy and ensure compliance. This means:

  • Proven results: Our team's deep subject-matter expertise supports consistent high-quality results and project completion, improving the efficiency and impact of your programs.
  • Scale and flexibility: Partner with a vendor who can scale to effectively support your evolving needs; with proven performance in complex, large programs and the ability to adapt to specific strategies and priorities.
  • Industry expertise: With decades of industry expertise and highly qualified teams, Cotiviti is best equipped to leverage tech innovations integrated into expert processes to increase value.

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