Company Profile
Cotiviti
Company Overview
We are specialists, applying all our resources and talent to address the unique challenges of healthcare payers. Working with Cotiviti Healthcare, you have a partner that shares your priorities and understands your environment.
Cotiviti Healthcare meets the policy, operational and payment accuracy needs of payers across the U.S. healthcare landscape – from leading private insurance plans to the largest government programs. Our experience with this broad payer base gives you access to the latest industry practices, as well as changes in policies and guidelines.
Regardless of the type or size of organization, one thing remains constant. All Cotiviti Healthcare clients experience the same high quality of service and thoughtful approach that make us the payment accuracy partner of choice.
Cotiviti Healthcare clients include:
Commercial health plans – The vast majority of leading private plans, from the biggest national insurers to local payers and self-insured organizations, elect to work with Cotiviti Healthcare. Our team of clinical and coding experts complements our clients’ internal capabilities in policy development and implementation, claim and chart review, as well as overpayment recovery.
Blue Cross Blue Shield – Partnerships with many of the country’s Blue plans give us deep familiarity with Blue Card transactions and inter-plan cooperation. We facilitate an industry-leading Blues-specific payment accuracy forum, where peers gather to discuss common industry challenges and share best practices.
Medicaid Managed Care organizations – Cotiviti Healthcare is an Association for Community Affiliated Plans (ACAP) Preferred Vendor, making us one of the select partners for plans that support more than half of all Medicaid recipients. Our work covers MMC organizations in 31 states, and in 2014 alone we saved these clients more than $240 million.
Medicare Advantage – Our long experience with the nation’s largest healthcare payer program gives us deep awareness of Medicare policies and claim concepts across all 50 states, to the benefit of our broad portfolio of clients with Medicare Advantage business.