Cotiviti Completes Acquisition of Edifecs.
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Commercial, Medicare, and Medicaid lines of business all face unique challenges in a rapidly changing market. The key to success, however, remains constant: smart decisions based on sound data. Whether you want to improve payment accuracy, risk adjustment, care quality, or network performance, Cotiviti has the most complete set of solutions to meet your needs, backed by decades of experience and our passionate commitment to your success.
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Government agencies, in particular the Centers for Medicare and Medicaid Services (CMS), face unique challenges measuring and managing healthcare quality, optimizing risk adjustment programs, and preventing fraud, waste, and abuse. The United States wastes nearly $1 trillion annually on healthcare spending—an estimated $600 billion of which can be attributed to unnecessary care and other inappropriate payments. Cotiviti Government Solutions provides multiplatform solutions that drive effective and efficient management and stewardship of mission-critical programs. As a CMS Recovery Audit Contractor (RAC), Cotiviti has made more than $3.9 billion in corrections for the Medicare Trust Fund since its inception. We use the latest technology and processes designed to protect and engage by optimizing data insights and designing smarter solutions.
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Cotiviti supports many other types of organizations in their quest to better understand and improve on their business performance through greater insights and efficiency.