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What is Interpreta Clinical Action?

Interpreta’s Clinical Action is an all-encompassing solution designed for the effective management of quality and risk interventions throughout the year, proudly holding NCQA certification in HEDIS and California IHA AMP since 2015. Utilizing HEDIS, along with state-specific metrics and HCC formulations, Clinical Action provides a robust library of quality and risk measures that are easily accessible through a cloud-based platform, which integrates smoothly with diverse provider groups and health plan networks. The platform optimizes workflows by automating the handling of structured medical, lab, and pharmacy claims data, while also improving the usability of unstructured supplemental data, which supports code capture and collaborates with cutting-edge artificial intelligence and machine learning technologies, including natural language processing. Additionally, Clinical Action offers customizable tools for population management that empower care gap analytics, allowing healthcare providers to assess data across a wide population health spectrum down to individual patients, thereby enhancing physicians' in-office readiness. This versatility ensures that healthcare practitioners can effectively adapt their strategies to address the unique needs of each patient, resulting in better overall care outcomes. The continuous evolution of such platforms highlights the growing importance of integrating technology into healthcare practices.

What is Cotiviti?

Unlock hidden opportunities for cost savings in both medical and administrative realms throughout the payment process. Ensure accurate reimbursement through all-encompassing solutions that cater to both prospective and retrospective necessities. Employ proven analytics to evaluate, communicate, and improve your financial and clinical outcomes effectively. Drive initiatives and enhance health results via tailored outreach across various channels. Cotiviti is focused on enhancing both the financial and quality metrics of our clients. In the healthcare sector, this strategy entails processing vast amounts of clinical and financial data, analyzing it, and advising our clients on methods to enhance efficiency and quality. Additionally, Cotiviti also offers its expertise to the retail industry, providing audit and recovery services aimed at increasing operational efficiency and profitability. Our skilled leadership team is committed to providing exceptional value to our customers while inspiring our employees to achieve excellence in their performance. By cultivating a culture centered on continuous improvement, we strive to foster sustainable growth for all parties involved, ensuring long-term success and satisfaction. Through these efforts, Cotiviti remains a leader in both healthcare and retail sectors, dedicated to driving positive change.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided
Free Version
Free Trial Offered?

Pricing Information

Pricing not provided
Free Version
Free Trial Offered?

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Interpreta

Date Founded

2014

Company Location

United States

Company Website

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

Company Facts

Organization Name

Cotiviti

Company Location

United States

Company Website

www.cotiviti.com

Categories and Features

Categories and Features

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