Total Value: How to build a better payment integrity program
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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Discover how your health plan can create a more valuable payment integrity program and drive down medical loss by reducing improper medical costs.
Read eBook
Unlock the "Total Value" of your payment integrity program%%Attend our 4/30 webinar
Register NowLearn how one large regional health plan reached >90% of its targeted members with multi-channel outreach.
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Quality Decoded%%Attend our 4/25 webinar breaking down the CMS Final Rule
Register 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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Read 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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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
Learn MoreGet an in-depth analysis of proposed changes to the CMS Star Ratings program from our on-demand webinar.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
Visit nowCotiviti breaks down three key updates for payers to track as TEFCA comes to life in 2024.
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Learn 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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Talk with an expert %% Learn more about how our solutions can help you meet your goals
Contact usLearn how overuse of HCPCS H2014 and HCPCS T1017 led to an FWA investigation by Cotiviti’s 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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Learn 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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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBookIn 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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Learn about 2024 CPT code updates that may increase the potential for FWA as well as other anticipated trends.
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Learn how health plans can deliver better care to members with inflammatory bowel disease (IBD), including Crohn's and ulcerative colitis.
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Avoid payment errors and increase savings with these resources
Learn howRead about some of the most prominent alleged cases of healthcare fraud, waste, and abuse occurring during the third quarter of 2023.
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Learn new strategies for engaging health plan members with multi-channel communications to limit disenrollment during the Medicaid redetermination process.
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Learn how Clinical Chart Validation enabled one plan to streamline and optimize DRG review while improving quality and the provider experience.
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