Cotiviti empowers its clients to improve their quality and financial performance. In the healthcare sector, this means analyzing billions of financial and clinical data points and then assisting clients to find ways to enhance quality and efficiency. Further, Cotiviti provides recovery and audit services to the retail industry to boost effectiveness and profitability.
Cotiviti boasts more than 180 healthcare payers as clients, including 96% of the leading 25 plans. The company’s solutions address $600 billion in healthcare abuse, waste and low-value care that is present in the system. It saves $5.4 billion in annual medical costs via payment accuracy alone. Plus, the firm generates $2 billion in added risk adjustment revenue for Medicare clients.
Cotiviti’s Payment Accuracy suite aids you to improve performance, increase efficiency, and unlock value across the payment cycle. It can discover unrealized administrative and medical expense savings for healthcare payers by offering tools for all dimensions of the claim payment cycle – from clinical claim preview and early payment policy handling to fraud trend investigation and post-pay chart review. Cotiviti assists its clients to work efficiently across their payment accuracy application silos by implementing suitable approaches and methods at appropriate times – powered by deep industry expertise and a full-service model.
As mentioned earlier, Cotiviti has helped its clients save over $5 billion in medical expense savings opportunities across their portfolio. They assist you to:
Decrease your administrative work in the claim payment cycle
Discover unidentified value by using insights into all intervention points
Uncover and close all improper payment areas
Cotiviti can deploy its platform swiftly sometimes within 60 days. They help you:
Deploy more tools earlier in the payment procedure
Implement both clinical validation and claim editing more rapidly with integration
Execute in real time using modern technologies
Cotiviti has built thousands of payment concepts, policies, and rules that help to reduce improper claim expenses from retrospective through prospective intervention points. They assist you to:
Operate efficiently with deep research on Fraud, Waste, and Abuse (FWA) schemes, clinical guidelines, policy, and coding compliance.
Deepen the grade of clinical and analytics expertise you apply to each element of vulnerability.
Widen your defense layer to overcome more payment lifecycle weak points.
Cotiviti pricing information is not publicly available. Contact them directly to get accurate pricing details.
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