Payment Accuracy solutions for health plans | Cotiviti

Payment Accuracy solutions

Unlock value, increase efficiency, and improve performance across the payment cycle with one partner.

Payment Accuracy solutions

Unlock value, increase efficiency, and improve performance across the payment cycle with one partner

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Payment Policy Management solution

Avoid payment errors before claims get paid

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Coding Validation solution

Further reduce claim spend after claim editing programs

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Clinical Chart Validation solution

Find more value with less administrative burden and provider abrasion

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Coordination of Benefits (COB) Validation solution

Achieve greater accuracy from prospective and retrospective COB determinations

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Cotiviti SIU Services

Investigative and clinical support for health payers

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Fraud, Waste, and Abuse (FWA) Management solution

Detect and deter fraud, waste, and abuse (FWA) while meeting compliance and financial goals

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Claim Pattern Review solution

Prevent FWA before claims are paid and flag providers that warrant immediate investigation

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Contract Compliance solution

Confirm adherence to complex payment contractual terms and regulations

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Dental Claim Accuracy solution

Reduce the costs of inappropriate dental claims

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Data Mining solution

Identify and recover billing and payment errors through advanced analytics and specialist validation

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