cotiviti-medical-record-abstraction

JSON twin: https://www.healthaidb.com/software/cotiviti-medical-record-abstraction.json

Company Name

Cotiviti

Product URL

https://www.cotiviti.com/solutions/quality-and-stars/medical-record-abstraction

Company URL

https://www.cotiviti.com

Categories

Summary

Cotiviti Medical Record Abstraction is a managed service and software capability that extracts structured clinical data from medical records to support HEDIS, Star Ratings, risk adjustment, and quality reporting for health plans.

Description

A component of Cotiviti's Quality and Stars portfolio, the Medical Record Abstraction offering delivers high-accuracy (>97% claimed) clinical data abstraction, annotated record views, EMR extraction, real-time compliance tracking, and scalable staffing to support payers' HEDIS, Star Ratings, risk adjustment, and quality measurement workflows.

Api Available

Certifications

Company Founding

2014

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0416

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial_proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing and implementation details; enterprise engagement and custom quotes typical.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Cotiviti",
  "company_url": "https://www.cotiviti.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2014",
  "product_url": "https://www.cotiviti.com/solutions/quality-and-stars/medical-record-abstraction",
  "categories": [
    "clinical",
    "quality measurement",
    "data abstraction",
    "administrative"
  ],
  "market_segment": [
    "enterprise"
  ],
  "links": [
    "https://www.cotiviti.com/solutions/quality-and-stars/medical-record-abstraction",
    "https://resources.cotiviti.com/quality-measurement-and-reporting/medical-record-abstraction-solution",
    "https://www.cotiviti.com/solutions/quality-and-stars",
    "https://www.cotiviti.com/solutions/quality-and-stars/quality-intelligence",
    "https://www.cotiviti.com/solutions/risk-adjustment/medical-record-retrieval",
    "https://www.cotiviti.com/about",
    "https://www.cotiviti.com/contact-us-cotiviti",
    "https://www.cotiviti.com/privacy-policy",
    "https://www.linkedin.com/company/cotiviti/",
    "https://www.sec.gov/Archives/edgar/data/1657197/000104746917000964/a2231016zs-1.htm"
  ],
  "summary": "Cotiviti Medical Record Abstraction is a managed service and software capability that extracts structured clinical data from medical records to support HEDIS, Star Ratings, risk adjustment, and quality reporting for health plans.",
  "description": "A component of Cotiviti's Quality and Stars portfolio, the Medical Record Abstraction offering delivers high-accuracy (>97% claimed) clinical data abstraction, annotated record views, EMR extraction, real-time compliance tracking, and scalable staffing to support payers' HEDIS, Star Ratings, risk adjustment, and quality measurement workflows.",
  "target_users": [
    "health plans",
    "payers",
    "quality measurement teams",
    "risk adjustment teams",
    "data analysts",
    "population health managers",
    "provider network operations",
    "clinical abstractors"
  ],
  "specialties": [
    "HEDIS measurement",
    "Medicare Advantage Star Ratings",
    "risk adjustment",
    "quality measurement and reporting",
    "preventive care",
    "chronic disease management",
    "population health"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing and implementation details; enterprise engagement and custom quotes typical.",
  "license": "commercial_proprietary",
  "deployment_model": [
    "cloud SaaS",
    "managed services"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Scalable abstraction staff (RNs, certified coders)",
    "Expert abstractors with NCQA technical spec training",
    "Direct abstraction from EMR systems",
    "Highlighted/annotated record locations for auditors",
    "Data collection per NCQA/HEDIS technical specifications",
    "Two-way client communication for record re-evaluation",
    "Real-time compliance visibility in a single environment",
    "Direct access to annotated records (Annocoder integration)",
    "Integration with Cotiviti Quality Reporter/Quality Intelligence",
    "Project status and retrieval/abstraction reporting",
    "Weekly and cumulative quality score reporting",
    "Dashboard of non-compliant chase reason codes",
    "Inter-rater reliability (IRR) testing and accuracy metrics",
    "Support for state-specific and custom measures",
    "Client road map and client handbook"
  ],
  "optional_modules": [
    "Annocoder (annotate and search annotations)",
    "Medical Record Retrieval (aggregation, indexing, storage)"
  ],
  "integrations": [
    "Electronic Medical Record (EMR) systems (direct abstraction)",
    "Cotiviti Quality Reporter",
    "Cotiviti Quality Intelligence",
    "Cotiviti Medical Record Retrieval"
  ],
  "data_standards": [],
  "api_available": "",
  "system_requirements": "",
  "compliance": [
    "NCQA (HEDIS-related processes)"
  ],
  "certifications": [],
  "security_features": [],
  "privacy_features": [],
  "data_residency": "",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "P0416",
  "slug": "cotiviti-medical-record-abstraction",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/cotiviti-medical-record-abstraction.json"
  }
}