Busted: The top fraud schemes of Q1 2024
Learn how some of the top healthcare fraud cases of Q1 2024 involved kickbacks, fabricated claims, and deceit of vulnerable healthcare consumers.
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Learn how some of the top healthcare fraud cases of Q1 2024 involved kickbacks, fabricated claims, and deceit of vulnerable healthcare consumers.
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Quality Decoded%%Register for our year-long webinar series
Register NowWatch our on-demand webinar and learn how to realize long-term value from your payment integrity program with a differentiated service model and integrated solution breadth.
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Learn the key steps, options available, and recommendations for payers to optimize their interoperability programs.
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Cotiviti's Star Ratings experts review the 2025 CMS Final Rate Announcement from a quality improvement perspective.
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Cotiviti examines three strategies to improve risk adjustment outcomes for Medicare Advantage plans in 2024 and beyond.
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Discover how your health plan can create a more valuable payment integrity program and drive down medical loss by reducing improper medical costs.
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Cotiviti named 2024 Best in KLASĀ® for payer quality measurement and reporting
Learn MoreLearn how one large regional health plan reached >90% of its targeted members with multi-channel outreach.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
Visit nowCotiviti's Matthew Hawley, EVP of payment integrity operations, leads a conversation on the dimensions of payment integrity value that go beyond medical cost savings.
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Watch our brief on-demand webinar as we review proposed HEDIS updates for MY 2025.
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Watch our on-demand webinar as we explore strategies to leverage digital data effectively and enhance your risk adjustment efforts in 2024.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
Contact usRead our detailed breakdown of the HEDIS program changes the National Committee for Quality Assurance (NCQA) has proposed for Measurement Year (MY) 2025.
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Get an in-depth analysis of proposed changes to the CMS Star Ratings program from our on-demand webinar.
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Cotiviti breaks down three key updates for payers to track as TEFCA comes to life in 2024.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBookLearn how the 2025 CMS Advance Notice will impact Medicare Advantage risk adjustment and Star Ratings.
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Some of the top alleged cases of healthcare fraud in Q4 2023 included falsified claims and exploitation of healthcare programs for Native Americans.
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Learn how overuse of HCPCS H2014 and HCPCS T1017 led to an FWA investigation by Cotivitiās SIU.
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Learn about critical updates to the 2024 CPT code set and other trends impacting healthcare payments.
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Avoid payment errors and increase savings with these resources
Learn howLearn how one Medicare Advantage plan prevented more than $1 million inappropriate payments in less than a year with Claim Pattern Review.
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In this new and comprehensive eBook, we explore 12 key focus areas for improving member care and quality scores with better messaging, collaboration, and prevention.
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Learn how to reduce the burden of research and recovery for inpatient claims with a tailored pre and postpay approach.
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