Presence underscores commitment to improving provider outcomes through integrated, AI-enabled solutions

Cotiviti, a leader in enterprise healthcare software and data-driven technology solutions, will present and exhibit at the ACDIS Conference and Symposium (April 19–23) in Chicago, Illinois and the NAACOS Spring Conference (April 22–24) in Baltimore, Maryland this month to meet with clinical documentation improvement (CDI) and administrative leaders across the healthcare industry. These appearances highlight Cotiviti’s commitment to supporting health systems and accountable care organizations (ACOs) with continuous innovation and comprehensive risk adjustment solutions that streamline coding workflows, support accurate risk capture, and improve patient outcomes.

“Providers face increasing complexity in risk adjustment, compliance, and documentation, and need technology-driven solutions that improve accuracy and scalability without expanding cost-intensive clinical team reviews,” said Chad Kinkead, Executive Vice President of Health Enablement Solutions at Cotiviti. “The combination of Cotiviti’s extensive service and clinical expertise with Edifecs’ risk adjustment technology creates a new suite of unified risk adjustment solutions for providers across the full spectrum of prospective, concurrent, and retrospective programs. Our integrated, AI-enabled approach supports providers in capturing risk more accurately and enhances collaboration with payers.”

Cotiviti’s expanded provider-focused portfolio empowers health systems with comprehensive risk adjustment capabilities, including member suspecting, pre-visit prep, post-visit review, and retrospective coding reviews, all supported by an AI engine that delivers actionable insights. The solution suite delivers modern health system integrations and HITRUST-certified services designed for scalability, operational efficiency, and improved financial performance.

“ACDIS and NAACOS are an opportunity for clinical documentation leaders and administrators alike to see firsthand how Cotiviti is advancing risk adjustment for providers with technology built by and for clinical professionals,” said Summerpal Kahlon, M.D., Senior Vice President of Product Management at Cotiviti. “We’re focused on equipping both payers and providers with new, comprehensive innovations that meet their unique needs. Our solutions allow clinical teams to focus on providing care while achieving accurate and complete coding at scale to support both operational flexibility and better patient outcomes.”

Cotiviti Senior Solution Consultant Betty Stump will present on “HCC Coding in a Void: Navigating Risk Adjustment Challenges.” Her session will take place on Sunday, April 19 at 1 pm CT during the ACDIS Symposium, focusing on:

• What truly qualifies as a supported risk adjustment diagnosis
• Misconceptions around HCC reporting
• How to align evolving industry standards with internal policies

Learn more about Cotiviti’s risk adjustment solutions for providers.

About Cotiviti

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti’s solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit www.cotiviti.com.

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“ACDIS and NAACOS are an opportunity for clinical documentation leaders and administrators alike to see firsthand how Cotiviti is advancing risk adjustment for providers with technology built by and for clinical professionals."