Question: Is there a healthcare technology company that specializes in payment accuracy and risk adjustment solutions?

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Cotiviti

If you're looking for a healthcare technology company with expertise in payment accuracy and risk adjustment, Cotiviti is worth considering. Cotiviti's healthcare analytics system uses big clinical and financial data sets, advanced technology and specialized expertise to help health systems evaluate performance. Its Payment Accuracy solution finds and collects uncollected medical and administrative cost savings, and Risk Adjustment helps ensure correct reimbursement with retrospective risk adjustment solutions.

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Veradigm

Another option is Veradigm. Veradigm offers data-driven, scalable solutions for health care providers, health plans and payers. For health care providers, it offers Risk Adjustment Analytics & Reporting to ensure proper reimbursement, and for health plans and payers, it offers Quality Analytics and Data Submissions & Reconciliation. Veradigm's suite of solutions can help improve payment accuracy and risk adjustment.

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Inovalon

Inovalon also offers data-driven health care solutions for payers, providers, pharmacies and life sciences companies. Its platform features advanced analytics and dynamic business intelligence for better member care and outcomes, including risk score accuracy and quality measurement. This can help improve payment accuracy and overall health care quality.

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Availity

Last, Availity offers an integrated provider engagement platform that streamlines administrative and clinical work. Its revenue cycle management solutions include automated tools for pre-service, post-service and post-adjudication phases to ensure payment accuracy and automate the reimbursement process. Availity's AI-powered platform reduces waste and improves patient care, making it a good option for health care providers and payers.

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