Prospective Risk Adjustment solution
Accurately document disease burden and close care gaps
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Solution Fact Sheet
Quickly get up to speed on Cotiviti's payment integrity, risk adjustment, and quality and performance analytics solutions.
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Payment Policy Management solution
Cotiviti's best-in-class Payment Policy Management solution can save you up to an incremental 4% or more off your annual spend by avoiding payment of improper claims.
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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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Star Navigator solution
Optimize Medicare Advantage Star Ratings
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Network Intelligence solution
Partner with your providers to successfully shift from volume to value
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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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Medical Intelligence solution for employers and brokers
Reduce costs and drive better health for employees
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Suspect Analytics solution
Effectively identify members with suspected but potentially undocumented conditions
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Risk Adjustment Submissions solution
Improve risk adjustment submission rates
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Medical Record Retrieval solution
Improve risk adjustment and HEDIS® results while minimizing provider disruption
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Medical Record Coding solution
Accurately capture and document risk-adjustable conditions
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In-Home Assessments solution
Ensure member conditions are accurately documented and coded to optimize plan revenues while closing care gaps
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Payment Policy Management solution
Identify millions of dollars in prospective payment savings
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Fraud, Waste, and Abuse (FWA) Validation 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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Dental Claim Accuracy solution
Reduce the costs of inappropriate dental claims
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