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Coding Validation solution

Further reduce claim spend after claim editing programs

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Coding Validation adds a last line of defense against costly overpayments and recoveries and renders payment recommendations within a few hours, causing no payment delays for your provider and no penalties for you.

Our solution applies advanced clinical and coding algorithms to nationally sourced edits and flags suspect claims that our team of nurses and coding experts review before final adjudication. Cotiviti handles updates to the infrastructure of this software-as-a-service (SaaS), so our clients have the peace of mind that expert resources are being deployed, but none of the hassle of maintaining that expertise in-house.

  • Further reduce annual claim spend with rapid nurse and coder review
  • Increase payment policy compliance and claim payment accuracy for improved payment integrity 
  • Redistribute valuable clinical and IT resources