Cotiviti Solution Fact Sheets

Solution Fact Sheet

Quickly get up to speed on Cotiviti's payment integrity, risk adjustment, and quality and performance analytics solutions.

Enabling a high-quality and viable healthcare system

With a steadfast commitment to providing total value, Cotiviti stands out as a strategic partner for health plans aiming to optimize their operations.

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360 Pattern Review solution

Prevent and recover more healthcare fraud, waste, and abuse with an integrated pre and postpay FWA solution

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FWA Pattern Review solution

Improve fraud, waste, and abuse (FWA) detection and recoveries with an expert-driven managed service model

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Prepay claim integrity for TPAs

Increase revenue by saving health plan sponsors up to 4% on annual claim spend

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Close gaps in care with integrated quality improvement and member engagement

With so much at stake, health plans need synergy between their quality improvement and member engagement solutions.

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Star Intelligence solution

Optimize Medicare Advantage Star Ratings

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Eliza Secure Digital solution

Safely engage with healthcare consumers

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Eliza Health Risk Assessments

Improve Medicare Advantage HRA completion rates with multi-channel engagement

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Cotiviti GOV Services

Enabling government agencies to maintain payment integrity, optimize risk adjustment, and improve quality outcomes

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Quality Intelligence Integration solution

Improve measure rates, provider performance, and clinical outcomes through intervention of actionable insights—all within the Medical Intelligence platform

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Eliza Childhood Immunization Solution

Improve childhood vaccination rates with multi-channel engagement

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Home-Host Solutions

Are challenges operating a national payment accuracy program impacting your ability to compete? Learn how our unique Home-Host solution helps.

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Coordination of Benefits (COB) Validation solution

Achieve greater accuracy from prospective and retrospective COB determinations

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Clinical Chart Validation solution

Find more value with less administrative burden and provider abrasion

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Quality Intelligence solution

Measure and report HEDIS and HEDIS-related metrics your way

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Medical Record Abstraction solution

Ensure thorough documentation of compliant care to improve quality scores

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Medical Intelligence solution

Gain insights into every facet of healthcare utilization

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DxCG® Intelligence solution

Clearly identify, stratify, and manage individual and population risk

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Suspect Analytics solution

Effectively identify members with suspected but potentially undocumented conditions

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Medical Record Retrieval solution

Improve risk adjustment and quality results while reducing provider disruption

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