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Quality Intelligence

Quality Intelligence, Cotiviti’s measurement and reporting software with fully NCQA-certified quality measure logic, sets the standard for efficiency, ease-of-use, and customer satisfaction. Health plans can track, monitor, and improve quality compliance; develop and measure proprietary quality metrics; facilitate HEDIS®, Star Ratings, and other quality measure submissions; and implement a year-round measurement and reporting program that significantly improves health plan rankings. Maybe that’s why 68 percent of health plan members for whom HEDIS scores are reported run through our software.

Benefits

  • Drill down to member-level claim detail for optimal insight and analysis
  • Take advantage of intuitive medical record review templates for data entry
  • Create HEDIS submission files simply and efficiently
  • Customize views to display the most meaningful data and facilitate smooth workflows
  • Create and customize reports easily for deeper insights into how to improve provider-related and other key metrics
  • Set goals and benchmarks to monitor progress in real time

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