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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.
- Save >3.5% on annual DRG, short stay, and readmissions spend
- Isolate charts with the highest probability of overpayment
- Catch higher-value errors that others miss with coding, documentation, and clinical validation
- Minimize provider abrasion with direct physician involvement in chart reviews
- Catch more overpayments prospectively by reviewing more than just the highest-dollar claims