Medical Record Abstraction

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

Company Name

Cotiviti

Product URL

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

Company URL

https://www.cotiviti.com

Categories

• clinical Data Management
• quality & Safety
• health Data Analytics
• Clinical Data Abstraction
• Quality Measurement
• Healthcare Analytics

Summary

Cotiviti's Medical Record Abstraction service provides accurate extraction of clinical data from medical records to support quality measurement and reporting, including HEDIS reporting, enhancing health plan quality scores and closing care gaps.

Description

Cotiviti's Medical Record Abstraction service specializes in extracting clinical data from medical records, primarily for HEDIS reporting and other quality measurement needs. The service employs registered nurses and certified coders to ensure high compliance and accuracy rates. The abstraction process is integrated with EMR systems, facilitating real-time compliance tracking and enabling clients to review annotated records efficiently. This service is targeted at health plans aiming to optimize quality scores and close care gaps.

Api Available

unknown

Certifications

• HITRUST CSF
• SOC 2 Type 2
• HIPAA

Company Founding

1979

Company Offices

• United States

Compliance

• HIPAA
• HITRUST CSF
• SOC 2 Type 2

Customers

• Horizon Blue Cross Blue Shield of New Jersey

Data Residency

US-only

Data Standards

• FHIR
• C-CDA r2.1

Deployment Model

• SaaS

Features

• Rapid, accurate abstraction of clinical data for HEDIS reporting and quality measurement
• Scalable staffing with expert registered nurses and certified coders
• Direct extraction from electronic medical record (EMR) systems
• Highlighting compliant information within medical records for easy identification
• Real-time compliance tracking and reporting
• Two-way client communication for record re-evaluation
• Integration with Cotiviti's Medical Record Retrieval solution for comprehensive data management
• Transparent data model with visibility at every processing level
• Configurable data collection templates and custom fields
• Advanced filtering capabilities with over 100 filters in the Medical Record Review grid
• Client-facing platform for real-time tracking and management of abstraction workflows

Id

SW1170

Integration Partners

• Waystar
• Personify Health
• athenaOne

Integrations

• EMR systems
• Cotiviti's Medical Record Retrieval solution
• Quality Reporter Web
• Annocoder

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Quality Intelligence solution
• Star Intelligence
• Medical Intelligence
• Engagement Hub
• Eliza

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization

Product Code

SW1170

Product Name

Medical Record Abstraction

Ratings

• 4.2/5 (G2)

Regions Available

• United States

Related Urls

• https://elion.health/products/cotiviti-medical-record-abstraction

Release Year

1979

Security Features

• Encryption
• Audit logs
• 2FA
• Data minimization

Specialties

• Hedis Reporting
• Quality Measurement
• Clinical Data Extraction

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• health plans
• healthcare organizations
• quality measurement teams

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Optimizing revenue stream with Cotiviti
• Strong Healthcare database with comprehensive analytics.
• Cotiviti Helped my Organization save millions on overpayments
• Cotiviti is solid and true
• Experience of a kind
• Cotiviti for health care data analytics
• Cotiviti review
• Great resource for Health plan data analytics
• Good product, tedious implementation for existing framework
• Payment Accuracy

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Medical Record Abstraction",
  "company_name": "Cotiviti",
  "product_url": "https://www.cotiviti.com/solutions/quality-and-performance/medical-record-abstraction",
  "company_url": "https://www.cotiviti.com",
  "related_urls": [
    "https://elion.health/products/cotiviti-medical-record-abstraction"
  ],
  "product_code": "SW1170",
  "summary": "Cotiviti's Medical Record Abstraction service provides accurate extraction of clinical data from medical records to support quality measurement and reporting, including HEDIS reporting, enhancing health plan quality scores and closing care gaps.",
  "description": "Cotiviti's Medical Record Abstraction service specializes in extracting clinical data from medical records, primarily for HEDIS reporting and other quality measurement needs. The service employs registered nurses and certified coders to ensure high compliance and accuracy rates. The abstraction process is integrated with EMR systems, facilitating real-time compliance tracking and enabling clients to review annotated records efficiently. This service is targeted at health plans aiming to optimize quality scores and close care gaps.",
  "categories": [
    "clinical Data Management",
    "quality & Safety",
    "health Data Analytics",
    "Clinical Data Abstraction",
    "Quality Measurement",
    "Healthcare Analytics"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "health plans",
    "healthcare organizations",
    "quality measurement teams"
  ],
  "specialties": [
    "Hedis Reporting",
    "Quality Measurement",
    "Clinical Data Extraction"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "1979",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Rapid, accurate abstraction of clinical data for HEDIS reporting and quality measurement",
    "Scalable staffing with expert registered nurses and certified coders",
    "Direct extraction from electronic medical record (EMR) systems",
    "Highlighting compliant information within medical records for easy identification",
    "Real-time compliance tracking and reporting",
    "Two-way client communication for record re-evaluation",
    "Integration with Cotiviti's Medical Record Retrieval solution for comprehensive data management",
    "Transparent data model with visibility at every processing level",
    "Configurable data collection templates and custom fields",
    "Advanced filtering capabilities with over 100 filters in the Medical Record Review grid",
    "Client-facing platform for real-time tracking and management of abstraction workflows"
  ],
  "optional_modules": [
    "Quality Intelligence solution",
    "Star Intelligence",
    "Medical Intelligence",
    "Engagement Hub",
    "Eliza"
  ],
  "integrations": [
    "EMR systems",
    "Cotiviti's Medical Record Retrieval solution",
    "Quality Reporter Web",
    "Annocoder"
  ],
  "data_standards": [
    "FHIR",
    "C-CDA r2.1"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITRUST CSF",
    "SOC 2 Type 2"
  ],
  "certifications": [
    "HITRUST CSF",
    "SOC 2 Type 2",
    "HIPAA"
  ],
  "security_features": [
    "Encryption",
    "Audit logs",
    "2FA",
    "Data minimization"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization"
  ],
  "data_residency": "US-only",
  "customers": [
    "Horizon Blue Cross Blue Shield of New Jersey"
  ],
  "user_reviews": [
    "Optimizing revenue stream with Cotiviti",
    "Strong Healthcare database with comprehensive analytics.",
    "Cotiviti Helped my Organization save millions on overpayments",
    "Cotiviti is solid and true",
    "Experience of a kind",
    "Cotiviti for health care data analytics",
    "Cotiviti review",
    "Great resource for Health plan data analytics",
    "Good product, tedious implementation for existing framework",
    "Payment Accuracy"
  ],
  "ratings": [
    "4.2/5 (G2)"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "1979",
  "integration_partners": [
    "Waystar",
    "Personify Health",
    "athenaOne"
  ],
  "id": "SW1170",
  "slug": "medical-record-abstraction",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/medical-record-abstraction.json"
  }
}