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.

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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Medical Record Coding solution

Accurately capture and document risk adjustable conditions

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Payment Policy Management solution

Avoid payment errors before claims get paid

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Claim Pattern Review solution

Prevent FWA before claims are paid and flag providers that warrant immediate investigation

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Fraud, Waste, and Abuse (FWA) Management solution

Detect and deter fraud, waste, and abuse (FWA) while meeting compliance and financial goals

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