Cotiviti stands as a premier healthcare technology and analytics company, dedicated to enhancing healthcare economics through innovative data-driven solutions [1]. Since its acquisition by Veritas Capital in 2018, the company has strengthened its position as a critical healthcare technology partner [2], serving over 200 healthcare payers and major retailers [1].
Under the leadership of Chairman, President and CEO Dr. Emad Rizk [3], and recently appointed Chief Technology Officer Suvajit Gupta [1], Cotiviti delivers comprehensive solutions across four core areas:
- Payment accuracy and analytics
- Healthcare quality improvement
- Risk adjustment services
- Retail audit and recovery services
Based in Atlanta, Georgia [3], Cotiviti has established a significant federal healthcare presence over two decades, particularly in its role as a Recovery Audit Contractor (RAC). The company's impact in federal healthcare is demonstrated through:
- Over $6.8 billion returned to the Medicare Trust Fund with a 97.5% accuracy rate [2]
- More than $9 billion recovered for the VA Medical Collection Fund [2]
- RAC program contractor status for CMS Regions 3 and 4, with legacy support for Region 2 [2]
Cotiviti's commitment to excellence is reflected in its comprehensive quality management and security framework. The company maintains:
- HITRUST CSF® certification across its core healthcare solutions portfolio [4]
- CMMI Level 3 designation for IT Infrastructure Service Delivery [3]
- HEDIS® Certified Measures status for 24 consecutive years [1]
- URAC accreditation for Dental Claim Accuracy [1]
The company's innovation and technological capabilities have earned recognition through numerous awards and achievements:
- Bronze Stevie® Award for Best Use of Technology in Customer Service (2024) [4]
- Fast Company World Changing Ideas Award in AI and Data category (2021) [2]
- Development of COVID-19 Outbreak Tracker with over 80% accuracy in identifying potential infection hotspots [2]
Cotiviti maintains strong industry connections through strategic memberships:
- Premier Supporting Member of National Health Care Anti-Fraud Association [1]
- Affiliate Member of America's Health Insurance Plans [1]
- Platinum Sponsor of Resource Initiative & Society for Education [1]
Recent strategic developments have enhanced Cotiviti's service delivery capabilities, including: