Cotiviti

Analyzes large-scale clinical and financial data sets to optimize healthcare performance, delivering high-quality care while reducing costs through advanced analytics and AI expertise.
Healthcare Analytics Payment Integrity Risk Adjustment

Cotiviti is a healthcare analytics company that uses large-scale clinical and financial data sets to help healthcare organizations understand how the system is performing. With the help of advanced technology, data analytics and specialized expertise, Cotiviti helps healthcare organizations optimize financial and clinical performance, delivering high-quality care while reducing costs.

Cotiviti has a suite of solutions to help address specific issues in the healthcare ecosystem:

  • Payment Accuracy: Find and fix unrealized medical and administrative cost savings across the payment lifecycle.
  • Risk Adjustment: Ensure accurate reimbursement with complete retrospective risk adjustment solutions, including technology, analytics and artificial intelligence.
  • Quality and Performance: Analyze and improve financial and clinical performance with trusted analytics, helping health plans manage member risk.
  • Consumer Engagement: Drive meaningful outcomes by personalizing multi-channel outreach to healthcare consumers, improving health outcomes and engagement.
  • Retail Solutions: Support supplier audit reviews, contract compliance and overpayment recoveries in retail channels.

These solutions help improve payment integrity, risk adjustment and quality and performance in healthcare. By addressing these critical areas, Cotiviti helps healthcare organizations unlock previously unrealized cost savings, improve financial performance and ultimately improve healthcare outcomes.

Published on July 7, 2024

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