Complete and accurate risk capture is essential to support success in value-based contract performance. Clinically focused risk adjustment processes can improve revenue accuracy, enhance care quality, and reduce compliance and audit risks. 

However, achieving this is often easier said than done. Combing through mountains of clinical data, spreadsheets, free-text notes, and scanned documents requires a significant amount of time and resources that many provider organizations simply don’t have at their disposal. 

Cotiviti's Risk Adjustment solutions for providers are designed to integrate with EHR systems and augment existing clinical workflows. 

Supported by AI-derived insights and our proprietary natural language processing (NLP) engine, each module serves as a valuable tool to help providers and clinical staff identify and address risk. Together, they enable provider organizations to support complete and accurate risk capture with a single workflow for all lines of business, across all stages of the risk adjustment cycle.

Read our brochure and learn how we support providers with end-to-end risk adjustment solutions:

• Prospective: Get ahead of the curve with solutions that can help anticipate risk adjustment needs and improve planning.

• Concurrent: Interve neearly with point-of-care integrations that scale to identify and help close gaps in near-real time.

• Retrospective: Support operational excellence and help strengthen compliance with proven technologies, seasoned expertise, and consistent high- quality results.