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features
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support

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Description

Unlock untapped potential for medical and administrative cost savings across the entire payment process. Guarantee proper reimbursement with comprehensive solutions that address both prospective and retrospective needs. Utilize reliable and established analytics to assess, convey, and enhance your financial and clinical performance. Propel initiatives and elevate health outcomes through customized outreach across multiple channels. Cotiviti is dedicated to enhancing the financial and quality metrics of our clients. In the realm of healthcare, this approach involves processing billions of clinical and financial data points, analyzing them, and guiding our clients on how to boost efficiency and quality. Furthermore, Cotiviti also extends its services to the retail sector by providing audit and recovery solutions designed to improve operational efficiency and maximize profitability. Our accomplished leadership team is committed to delivering unique value to our customers while motivating our employees to strive for excellence in performance. By fostering a culture of continuous improvement, we aim to drive sustainable growth for all stakeholders involved.

Description

Interpreta’s Clinical Action serves as a comprehensive platform for managing quality and risk interventions throughout the year, boasting NCQA certification in HEDIS and California IHA AMP since 2015. By leveraging HEDIS, state-specific metrics, and HCC formulations, Clinical Action offers an extensive library of quality and risk measures, all accessible via a cloud-based platform that seamlessly integrates with various provider groups and health plan ecosystems. The platform streamlines workflows by automating the processing of structured medical, lab, and pharmacy claims data, while also enhancing the environment for unstructured supplemental data, which aids in code capture and integrates with advanced artificial intelligence and machine learning capabilities, including natural language processing. Moreover, Clinical Action features customizable population management tools that facilitate care gap analytics, enabling healthcare providers to analyze data from a broad population health perspective down to individual members, thereby improving in-office preparation for physicians. This flexibility ensures that healthcare professionals can tailor their approach to meet the specific needs of their patients effectively.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Cotiviti

Country

United States

Website

www.cotiviti.com

Vendor Details

Company Name

Interpreta

Founded

2014

Country

United States

Website

www.interpreta.com/products/clinical-action/

Product Features

Product Features

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