Cotiviti

Cotiviti works with more than 200 healthcare payers, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. We take in billions of nsumer engagement programs. We take in billions of clinical and financial data points, analyze them, and help our clients discover ways they can improve efficiency and quality to better care for their members. Through our partnership with health plans, Cotiviti helps consumers to protect their benefits by working to ensure their healthcare bills are paid appropriately and reduce fraud, waste, and abuse. Our solutions are not leveraged to deny care or question the medical determinations of providers, but rather to help avoid paying erroneous claims that unnecessarily inflate healthcare spending. These solutions help to save the healthcare system over $9.5 billion a year in billing errors that could lead to over payment. In addition, Cotiviti supports the retail industry with audit and recovery services in order to increase their efficiency and ensure alignment on strategy and resource allocation. As much as $1 trillion or more in annual waste, abuse, fraud, and low-value care exists in the U.S. healthcare system. Our solutions unlock unique opportunities for health plans to solve this persistent challenge by reducing inefficiency, closing care gaps, improving value, helping ensure claims are appropriately reimbursed, and engaging consumers with the right message at the right time. Our vision is to enable a high-quality and viable healthcare system. Our mission is to improve the healthcare system through our combination of advanced technology, data analytics, and specialized expertise. Click the tiles below to learn more. ...view more