Cotiviti Payment Accuracy Solutions (Pre-Pay) Commentary
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Mark Allphin
Vice President of Sales
KLAS Vice President of Sales - Mark Allphin
 
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VP/Other Executive

Relationship, Product

Cotiviti makes a lot of mistakes when we customize edits. The customization is something I would...

Jul 2025
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VP/Other Executive

Culture, Value

We would like Cotiviti to change their pricing models. They are still billing us the same rate today...

Jul 2025
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VP/Other Executive

Culture

Cotiviti doesn't like to provide a lot of transparency for fear of intellectual property. There is a...

Jul 2025
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Director

Culture, Value

Cotiviti nickel-and-dimes us. They are excessive with that. We need to monitor their fees as they...

Jun 2025
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Director

Relationship

Cotiviti is really good as a last pass because they have a broad net of capabilities that they are...

Jun 2025
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Director

Loyalty

We will likely reduce the scale of Cotiviti's footprint in our organization. Their contingency fee...

Jun 2025
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Director

Culture

Cotiviti is flexible in their treatment of us as a smaller entity, but they also accept us as part...

May 2025
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Director

Relationship, Operations

Cotiviti will make edit recommendations. My team will review those and either agree or disagree....

May 2025
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Director

Relationship

For people in my line of business, there are different certifications and things that we have to...

May 2025
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Director

Relationship

Cotiviti is pretty organized when it comes to taking on expansions. I have worked with their teams...

May 2025
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Director

Loyalty, Relationship, Product

The market is flooded with vendors. Sometimes, those vendors are up-to-date with technology, and...

May 2025
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Director

Value

We have had a lengthy relationship with Cotiviti, and from a prepayment perspective, we have...

May 2025
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Director

Loyalty, Relationship

Cotiviti's senior leaders make themselves very available. I'm going to be optimistic about Cotiviti...

May 2025
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Director

Value

Cotiviti forced our rate up because they didn't like some changes we made.

May 2025
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Director

Relationship

Cotiviti brings savings, but they are tough to work with because when we ask questions, like if we...

May 2025
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Director

Culture, Relationship

When my relationship with Cotiviti began, we only had one product in the space. When Cotiviti said...

May 2025
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Director

Value

Cotiviti does not nickel-and-dime us. They have a commission, and that is their commission. Cotiviti...

May 2025
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CMO

Product, Value

Cotiviti's system catches a lot of things for secondary editing, but those things cost more. The...

May 2025
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CMO

Product

We wanted to get out of the primary editing business, and we wanted the flexibility to edit based on...

May 2025
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Director

Loyalty, Value

The vendor has functionalities that we are looking at, but we haven't implemented those. They are on...

May 2025
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Director

Relationship, Operations

I work with the vendor just about every day. They are an organized organization, and they are...

May 2025
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VP/Other Executive

Culture, Loyalty, Operations

Cotiviti Payment Accuracy Solutions performs as expected. However, we have found it challenging to...

May 2025
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VP/Other Executive

Value

Cotiviti Payment Accuracy Solutions is making money fall from the sky, and it is generating revenue....

May 2025
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VP/Other Executive

Product

I would ask very different questions if I were buying Cotiviti Payment Accuracy Solutions again. I...

May 2025
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VP/Other Executive

Culture, Relationship

Cotiviti throws a lot of things at the wall with their new technology. That is good, but the vendor...

May 2025
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VP/Other Executive

Product

Cotiviti is one of the top five prepayment accuracy and integrity vendors, and that is not a...

May 2025
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VP/Other Executive

Relationship

Cotiviti excels at claim editing and engagement. They bring us a lot of ideas. Those things are...

May 2025
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VP/Other Executive

Operations

Cotiviti misses when it comes to some of their promises on quality and administrative support. The...

May 2025
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VP/Other Executive

Value

Cotiviti is now charging more ad hoc versus doing all-in-one prices. I would like more bundled...

May 2025
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VP/Other Executive

Operations, Product

We don't necessarily get documentation on how things are supposed to work in Cotiviti. Also, I have...

Apr 2025
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VP/Other Executive

Culture, Loyalty, Value

Cost is a big driver for us being unsure whether Cotiviti is part of our long-term plans. Our...

Apr 2025
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VP/Other Executive

Relationship, Product

One problem we struggle with is a lack of transparency from Cotiviti. For example, CCI editing is an...

Apr 2025
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VP/Other Executive

Product

Cotiviti's system is cloud based, so our upgrades happen automatically, and we don't have to manage...

Apr 2025
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VP/Other Executive

Relationship

Cotiviti presents us with many new ideas to go after, so they are very aggressive. Our other vendors...

Apr 2025
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Director

Loyalty, Relationship

Quality is a problem for Cotiviti. As Cotiviti acquires companies so that they can offer new...

Apr 2025
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Director

Relationship, Operations, Product

Overall, Cotiviti's product quality is an issue, and that is due to a lack of transparency. It also...

Apr 2025
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Director

Culture, Loyalty, Product

Most companies comparable to Cotiviti have a tool that they can offer their clients for modeling,...

Apr 2025
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VP/Other Executive

Loyalty, Product

We will keep Cotiviti's system because they do have some unique programs and edits that nobody else...

Apr 2025
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VP/Other Executive

Value

What I don't like about Cotiviti is they are expensive. Their payment arrangements really only offer...

Apr 2025
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VP/Other Executive

Product

I wish there were a little more flexibility around editing down to the member level and the group level....

Apr 2025
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VP/Other Executive

Value

Cotiviti has the most comprehensive library that exists. They are the most expensive, so that is why...

Apr 2025
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VP/Other Executive

Culture

Cotiviti has a really strong prepay analytic tool, which is their bread and butter. Where they need...

Apr 2025
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COO

Culture

Cotiviti's sales process, implementation process, ongoing services, and financial reconciliation...

Apr 2025
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COO

Relationship

We are being very cautious. We are running the vendor's payment integrity initiative program very...

Apr 2025
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COO

Relationship, Value

We have an in-house consulting group that helps us humanize data. Cotiviti doesn't have that skill...

Apr 2025
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COO

Culture, Operations

Having a full, universal view of the vendor's training and not having it be so compartmentalized to...

Apr 2025
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Director

Loyalty

We looked at Cotiviti's system for a while. We played around with it and pushed it off at times due...

Jan 2025
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VP/Other Executive

Operations

Cotiviti’s engagement team was great during implementation, but we also have had very engaged staff...

Nov 2024
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VP/Other Executive

Operations

We have been challenged a bit in implementations by Cotiviti’s schedule. They have been hanging us...

Oct 2024
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VP/Other Executive

Relationship, Product

Cotiviti’s core strengths are their coding engines and coding rules. They are as good as anybody in...

Oct 2024
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VP/Other Executive

Value

I would purchase the Cotiviti payment system again, but I would want to fully evaluate other tools...

Oct 2024
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Manager

Operations

I would tell others who are looking at the system that the editing software and user-interface...

Oct 2024
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Manager

Relationship, Operations

Cotiviti does some things on the provider side that are proactive, but I would like to see more...

Oct 2024
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Director

Culture, Value

Due to Cotiviti's size, there isn't a whole lot that they can't do. The system has pretty...

Oct 2024
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Director

Value

Cotiviti's contingency fee is really high. Due to that, the ROI we get from the system is still...

Oct 2024
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Director

Relationship

Someone could be a really good wide receiver in the NFL and be a jerk or be a really good...

Oct 2024
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Director

Value

I engage with Cotiviti only because I have to. They have not been a good partner, but we don't have...

Oct 2024
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Manager

Culture, Product

The dispute processes in the system are too end-user heavy. It is a lot of work for us to get...

Oct 2024
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Manager

Relationship, Operations

On the IT side of things, Cotiviti was very quick to go live. They had their process for how to get...

Oct 2024
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VP/Other Executive

Value

We regularly add new lines of business, and every time we enter a new market, we pay Cotiviti an...

Oct 2024
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VP/Other Executive

Culture, Operations, Product

Normally, there are no issues whatsoever with the upgrades of Cotiviti Payment Accuracy Solutions...

Oct 2024
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VP/Other Executive

Product

All the functionality is there in Cotiviti Payment Accuracy Solutions, but we would like Cotiviti to...

Oct 2024
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VP/Other Executive

Culture, Relationship

Sometimes we have to chase Cotiviti and ask a lot of questions about things that we see in the data...

Oct 2024
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VP/Other Executive

Value

Cotiviti has made a very good business out of exploiting and catching gaps within other vendors’...

Oct 2024
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Manager

Culture, Relationship

We would like the vendor to do anything they can to provide our IT side with more help. I am just an...

Oct 2024
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Director

Value

I wish Cotiviti were a little better at monetizing their services and savings. It seems like they do...

Sep 2024
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Director

Relationship

We have run into some obstacles with understanding some of Cotiviti's editing, and those have...

Sep 2024
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Director

Operations

Cotiviti is great when it comes to their implementation services. They meet their timelines, and we...

Sep 2024
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Director

Relationship, Product

Cotiviti has slowed down their development of new concepts and new prepayment editing rules. I know...

Sep 2024
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Director

Relationship

Cotiviti is a very strong partner. Our account manager is very responsive, and we have pretty open...

Sep 2024
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Director

Value

Cotiviti's system is expensive. It is on the high end compared to other systems in the prepayment space....

Sep 2024
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Director

Culture, Value

I wish Cotiviti offered itemized bill reviews. We are really trying to move to partner with a...

Sep 2024
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