Cotiviti Payment Accuracy Solutions (Pre-Pay and Post-Pay) Commentary
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Boyd Stewart
Research Director
KLAS Research Director - Boyd Stewart
 
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User Commentary

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VP/Other Executive

Culture

I think my only frustration with Cotiviti is related to the editing component, but the issue is more...

Feb 2024
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VP/Other Executive

Relationship

Cotiviti’s responsiveness makes them stand out from other vendors. Whenever we have an issue, it is...

Feb 2024
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VP/Other Executive

Loyalty, Relationship, Value

Cotiviti is the best-in-class vendor for a lot of their solutions, but they are not the cheapest....

Feb 2024
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CIO

Relationship, Value

Cotiviti has definitely demonstrated a clear ROI. They have added value. I think Cotiviti is more...

Oct 2023
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CMO

Relationship

We are really trying to do clinically relevant stuff when we are working with Cotiviti, and they...

Oct 2023
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Director

Relationship

Cotiviti is very collaborative and easy to work with in both their retrospective and prospective...

Aug 2023
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Director

Value

We have great results with Cotiviti Payment Accuracy Solutions, and Cotiviti finds a lot of stuff on...

Aug 2023
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Manager

Relationship

We have worked with Cotiviti for a number of years, and they understand us. We have a good...

Jul 2023
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Director

Value

Even though Cotiviti brings in a lot of money, we have had to add staff in the appeals, medication...

Jul 2023
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Director

Product

Some of Cotiviti’s edits are an annoyance, and that drives corrected claims more than anything. Once...

Jul 2023
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Director

Relationship

Cotiviti’s people who are on our account management team are good to work with. They are responsive.

Jul 2023
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Director

Relationship, Value

Cotiviti always fusses about how much we agree to pay them. They get a little hung up on getting...

Jul 2023
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Director

Operations

Cotiviti was pretty good with the implementation and making sure we understood how to use the...

Jul 2023
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Director

Culture

The product works as promoted, and the vendor was not shy about telling us the appeal rates. The...

Jul 2023
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Director

Relationship

Cotiviti just rests on their laurels. They put edits in and then just sit back and rake in the...

Jul 2023
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Director

Relationship

Cotiviti Payment Accuracy Solutions is good, very proficient, and very helpful; we have no issues...

Jul 2023
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Director

Relationship

Cotiviti is good with whatever technology they have, but they are struggling with new technology....

Jul 2023
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Manager

Value, Value

From a business perspective, we want to reduce our admin costs. If something can be built in a...

Jun 2023
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VP/Other Executive

Value

We appreciate Cotiviti's willingness to share some tools at no additional cost.

Jun 2023
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VP/Other Executive

Operations

The training was sufficient and not drawn out.

Jun 2023
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VP/Other Executive

Product

Some logic in the system can be a bit misleading or vague.

Jun 2023
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VP/Other Executive

Relationship, Product

A lack of transparency for some concept logic makes it difficult at times for end users to support things....

Jun 2023
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VP/Other Executive

Relationship, Product

Code updates and requested changes seem to happen in a reasonable time frame.

Jun 2023
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VP/Other Executive

Relationship

Anytime an issue is brought up, the Cotiviti team seems to bring up related issues to ensure we...

Jun 2023
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VP/Other Executive

Product

I rate the product highly with the caveat that the reconciliation piece still needs to verify our savings....

Jun 2023
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Manager

Loyalty, Loyalty

We chose Cotiviti because we needed an external vendor to perform editing and didn’t want to include...

Jun 2023
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Manager

Relationship, Relationship, Value, Value

We get the targeted savings we expect with Cotiviti Payment Accuracy Solutions. The vendor is...

Jun 2023
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Manager

Relationship, Relationship

Cotiviti’s strengths lie in their collaboration and responsiveness. Some of the people we work with...

Jun 2023
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Manager

Relationship, Relationship

Cotiviti is contingency based. The more we implement, the more money they get in their pockets, so...

Jun 2023
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Manager

Relationship, Relationship, Product, Product

We would tell potential customers of Cotiviti that sometimes the vendor's coding team struggles. Our...

Jun 2023
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Director

Operations

There was a really poor implementation on the clinical side, and we are still battling the issues...

May 2023
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Director

Relationship, Operations

On the data-mining side, we have had an extremely successful implementation and an overall positive...

May 2023
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Director

Relationship

The vendor is consistently missing timelines, overpromising on goals, and underdelivering on...

May 2023
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Director

Culture

We had to pretty significantly restate our goals a couple of years ago, but now, the vendor is...

May 2023
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Director

Product

Cotiviti did a couple of passes for us on two different products; one pass was more for data mining...

May 2023
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Director

Value

The cost of the product is on a contingency basis, so the vendor gets paid based on what we recover....

May 2023
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Manager

Relationship

Cotiviti seems pretty complacent about sending new concepts to us. They are not really sending us...

May 2023
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Manager

Culture

Cotiviti knows they have a good bulk of the market out there, so there is no harm to them if we say...

May 2023
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Manager

Relationship

We have such a long-established relationship with Cotiviti that they are very easy to work with.

May 2023
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Manager

Relationship, Product

Cotiviti captures the majority of what we are looking for in terms of data mining and...

May 2023
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Director

Relationship

Cotiviti is far more established than some of our other vendors. Cotiviti doesn't really run into...

May 2023
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Director

Relationship

Cotiviti is a fairly good partner. They have changed a bit since they were Connolly iHealth...

May 2023
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Director

Culture

One of our biggest struggles with Cotiviti is how concerned they are about intellectual property, as...

May 2023
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Director

Operations

Cotiviti did a fabulous job with the implementation. When Cotiviti's system went live, we had to get...

Apr 2023
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Director

Relationship

Cotiviti’s support team is fine. The support people answer our tickets. We work with the executives....

Apr 2023
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Director

Operations, Product

The system does data mining to identify potential areas of fraud, waste, and abuse, so we know when...

Apr 2023
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Director

Culture, Value

We are not achieving our outcomes. When we purchased the product, the salesperson did a fabulous job...

Apr 2023
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Director

Relationship

For a fraud, waste, and abuse program, we have to make sure that the vendor understands our company....

Apr 2023
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Director

Relationship, Product

Cotiviti could improve the medical record review they do on the fraud, waste, and abuse side by...

Apr 2023
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Director

Loyalty, Value

We revisit the product every few years based on what our needs are. We are signing on with Cotiviti...

Apr 2023
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Director

Culture

Cotiviti did not live up to their contract. After we signed the contract, we learned about things...

Apr 2023
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Director

Product

We like the system's tools. We like that we can do data mining instantly, and we like the scoring....

Apr 2023
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Director

Culture, Loyalty

We were looking for a tracking tool. We looked at another vendor, and we talked to a couple of...

Apr 2023
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Manager

Relationship

Cotiviti does upgrades all the time, and we regularly get notifications about them. We have a great...

Apr 2023
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Manager

Operations

If I ask for training, the vendor is willing to do it. I have to reach out and request training, and...

Apr 2023
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Manager

Loyalty, Relationship

We use another product from Cotiviti called Commander in conjunction with Cotiviti Payment Accuracy...

Apr 2023
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Manager

Relationship

Cotiviti’s support team is wonderful. They are very responsive, and they typically respond in less...

Apr 2023
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Manager

Relationship

Executive involvement from Cotiviti is not necessary all the time, but if there is a piece of the...

Apr 2023
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Manager

Product, Value

We call Cotiviti Payment Accuracy Solutions our source of truth because it houses all our cases. It...

Apr 2023
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Analyst/Coordinator

Relationship, Relationship, Product, Product

Cotiviti is very responsive. When it comes to complex queries, the system isn't intuitive. The...

Apr 2023
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Director

Product, Product

Cotiviti’s product is unable to communicate with other tools that are not in the same product suite....

Apr 2023
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Director

Operations, Operations, Product, Product

Some of the things in the system can be a little wonky and clunky at times. We must constantly...

Apr 2023
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Director

Product, Product

I have not seen any new technology. The vendor needs to constantly upgrade the tool.

Apr 2023
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Director

Operations, Operations

The best thing to do while implementing Cotiviti Payment Accuracy Solutions is to have a good...

Apr 2023
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Director

Relationship, Relationship

One of the vendor’s key strengths is their ability to implement some of the changes that we need...

Apr 2023
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CIO

Relationship

The claims team is really happy with how things are going with Cotiviti's system. We ran into some...

Apr 2023
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CIO

Relationship

Cotiviti’s support team is pretty responsive to the teams we have.

Apr 2023
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Director

Relationship

Cotiviti is not proactive, and they have a history of lacking proactivity. We are uncomfortable...

Apr 2023
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Director

Loyalty, Product

Cotiviti has probably owned the market as a secondary in the prepay space. Five years from now, if...

Apr 2023
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Director

Culture

The product works as promoted. But we have unapplied recommendations, and we are losing money...

Apr 2023
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Director

Operations, Product

The product is intuitive. The tools that Cotiviti gives us, including a claim inquiry tool and a...

Apr 2023
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Director

Operations

To be successful, customers should have a thoughtful rollout strategy. They should start with just...

Apr 2023
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Director

Relationship

Cotiviti is quick to market. They find and automate things that other vendors have issues with....

Apr 2023
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Director

Relationship, Product

There is a lack of transparency in the logic behind Cotiviti’s decision points. For example, if...

Apr 2023
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VP/Other Executive

Relationship, Product

Sometimes Cotiviti is slow to deliver new technology. The vendor is starting to do DRG reviews and...

Apr 2023
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VP/Other Executive

Relationship

Cotiviti doesn’t frequently come to us with things they identify; they do that once in a blue moon....

Apr 2023
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VP/Other Executive

Loyalty

We selected Cotiviti because they were pretty much the only player in town for second-pass claims...

Apr 2023
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VP/Other Executive

Value

We pay more than we would like to for the product. We are definitely paying more than Cotiviti's...

Apr 2023
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VP/Other Executive

Relationship

Overall, we have a good relationship with Cotiviti. The vendor solves our problems. I don't think...

Apr 2023
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VP/Other Executive

Operations

I would tell someone implementing the product to be open minded. The implementation takes a village....

Apr 2023
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VP/Other Executive

Relationship, Product

Cotiviti’s strength is that they can basically do anything we ask of them. A lot of times, the task...

Apr 2023
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VP/Other Executive

Relationship

Cotiviti could do more quality testing before they implement edits. We see a lot of cleanup edits...

Apr 2023
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Director

Operations

The implementation with Cotiviti was exhausting; the vendor could improve. Cotiviti tries to present...

Apr 2023
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Director

Operations

I think that issues with ease of use have to do with the interpretations of end users and their...

Apr 2023
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Director

Product

The Cotiviti product is doing what it was designed to do; it is accustomed to our claims and...

Apr 2023
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Director

Relationship

Cotiviti’s executives may be there for us, but they can't resolve issues. I don't know whether they...

Apr 2023
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Director

Culture

Cotiviti is great at sales, but they are selling the same product. I don't know whether I would put...

Apr 2023
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Director

Relationship

Cotiviti does a good job of driving tangible outcomes. At times, they have a little too much drive...

Apr 2023
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Director

Relationship

Cotiviti’s responses have been very slow in dealing with large issues. The vendor isn't being as...

Mar 2023
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Director

Operations

Cotiviti’s implementation for new categories is not very tight, and the integration is not the best.

Mar 2023
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Director

Relationship, Product

I am seeing a lot of outages or nonresponses on a weekly basis, and that is just not normal for Cotiviti....

Mar 2023
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Director

Loyalty

All other vendors are looking to replicate and do what Cotiviti's secondary editor does. Those...

Mar 2023
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VP/Other Executive

Loyalty, Relationship

Cotiviti knows their business, and they do that business well. The vendor knows how to integrate...

Mar 2023
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VP/Other Executive

Operations

The biggest piece of advice for a client is to make sure Cotiviti has an existing relationship with...

Mar 2023
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VP/Other Executive

Relationship

Cotiviti knows their business and their product. The product works. Foundationally, Cotiviti is...

Mar 2023
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VP/Other Executive

Operations

If I had to give any type of constructive feedback, I would say that Cotiviti needs to be a bit more...

Mar 2023
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VP/Other Executive

Relationship

Every vendor I have worked with has done the same thing Cotiviti has done. Cotivi doesn't have an...

Mar 2023
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