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Clinical Chart Validation solution

Find more value with less administrative burden and provider abrasion

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When payers concentrate on reviewing as many charts as possible, they waste time and resources, risking provider relationships by addressing overpayments with low returns on investment.

Cotiviti’s Clinical Chart Validation solution goes beyond coding and documentation review to find more value with less administrative burden, reduce unnecessary provider requests, keep costs sustainable, and improve payment integrity.

Cotiviti is the only partner to provide a comprehensive program of complex prospective and retrospective claim reviews of inpatient DRGs and postpay reviews of outpatient, skilled nursing and inpatient rehabilitation, short stay, and readmission claims.

Read our fact sheet and learn how you can:

  • Save 3–6% on annual inpatient spend
  • Isolate charts with the highest probability of overpayment through AI-driven chart selection
  • Minimize provider abrasion with direct physician involvement in chart reviews