Cotiviti is a data analytics company focused on the healthcare and retail sectors. The firm develops technology solutions aimed at improving financial and clinical performance for its clients, which include some of the largest health plans and Fortune 1000 companies in the United States.
The company's work centers on using artificial intelligence, machine learning, and data analytics to address challenges within the healthcare ecosystem. Its primary areas of focus are payment accuracy, risk adjustment, quality improvement, and member engagement. The Payment Accuracy Solutions, for example, are designed to identify cost-reduction opportunities and recover improper payments for payers, providers, and government entities.
Cotiviti also applies its analytical capabilities to clinical chart validation, HEDIS and Star Ratings optimization, and consumer engagement. The firm draws on decades of experience in healthcare analytics to operate its proprietary platforms.
