Cotiviti Expands HITRUST CSF Certification Across Quality, Performance, and Risk Adjustment Solutions

Achievement validates Cotiviti’s continuous commitment to meeting key regulations and protecting health plans’ sensitive data on behalf of their members

Cotiviti, a leader in data-driven healthcare solutions, has earned Certified status for information security by HITRUST for its Quality and Performance as well as Risk Adjustment solutions for the third consecutive year. Earning HITRUST certification for the first time are Network Intelligence, which enables payers and providers to collaborate to manage value-based healthcare delivery and payment, and Quality Reporter Web, Cotiviti’s new streamlined, web-based quality reporting solution.

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“Health plans are trusted to closely protect their members’ information at all times. By renewing our HITRUST CSF certification for Quality and Performance as well as Risk Adjustment, Cotiviti is once again proving our commitment to maintaining robust systems and processes to keep data safe for payers, providers, and members,” said Emad Rizk, M.D., chairman, president, and CEO of Cotiviti. “Having achieved our first HITRUST CSF certification in 2018, Cotiviti’s security program has continued to evolve and mature, continuously adapting to ever-changing threats to the healthcare data ecosystem. As health plans face a potential decrease in their quality and risk adjustment scores due to the COVID-19 pandemic’s impact on healthcare utilization, Cotiviti’s solutions are helping our customers continue to close care gaps and achieve appropriate reimbursement for their members’ risk burden.”

Processing more than 125 million member lives, Cotiviti’s Quality and Performance solutions allow health plans to move from simply reporting quality measures to driving the purchase, delivery, and utilization of higher value healthcare. Cotiviti’s Risk Adjustment solutions enable its customers to achieve more than $2 billion in appropriate incremental risk adjustment revenue annually.

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HITRUST CSF Certified status demonstrates that Cotiviti’s solutions have met key regulatory and industry-defined requirements, and that they are appropriately managing risk. This achievement places Cotiviti in an elite group of organizations worldwide that have earned this certification. By including federal and state regulations, standards, and frameworks, and by incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible framework of prescriptive and scalable security controls.

“In today’s ever-changing threat landscape, HITRUST is continually innovating to find new and creative approaches to address challenges,” said Jeremy Huval, Chief Innovation Officer, HITRUST. “Cotiviti’s HITRUST CSF Certification is evidence that they are at the forefront of industry best practices for information risk management and compliance.”

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