FWA Insights: Appropriate billing of intensive outpatient programs
Learn how to spot red flags in billing for intensive outpatient programs (IOPs) with these insights from Cotiviti's FWA team.
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Our latest healthcare payer resources
Improve your payment, risk, quality, and member engagement outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles.
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Decoding the 2026 Star Ratings%%Register for our 10/23 Quality Decoded webinar
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Preparing for 2026: Adapting to new risk adjustment regulations
Learn the impact of the latest changes in risk adjustment for 2026 and beyond.
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Get 2026 risk adjustment coding insights%%Register for our 10/28 webinar
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MY 2026: Breaking down the latest HEDIS Technical Specifications
Read a structured breakdown of confirmed changes to the MY 2026 HEDIS Technical Specifications and strategies to enable health plans to prepare.
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Deploying AI effectively and responsibly in payment integrity%%On-demand webinar
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Star Ratings Plan Preview: 4 key recommendations
As we await publication of the final 2026 Star Ratings, learn why scores are dropping and strategies for MA plans to close out the calendar year with stronger performance.
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The journey to four stars: How one plan transformed its Star Ratings strategy
Learn how Star Intelligence powers data-driven decision-making for one regional health plan as it seeks to improve Star Ratings outcomes.
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FWA Insights: Q&A with the SIU
Cotiviti's FWA investigators break down complex questions related to skin grafts and substitutes, a growing area of concern in healthcare.
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Payment policy trends and insights%%Watch our Payment Integrity Pulse webinar on demand
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Risk adjustment in 2026: Key updates and strategic readiness
Watch our on-demand risk adjustment webinar in partnership with RISE as we dive into key regulatory updates and emerging policy trends in 2026.
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Everest Group names Cotiviti the highest-designated Leader in Payment Integrity%%Read the Payment Integrity Solutions PEAK Matrix® Assessment 2025
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Busted: The top fraud schemes of Q2 2025
Read our breakdown of 10 major healthcare FWA schemes from April through June 2025—and what they reveal about the evolving tactics of bad actors.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Decoding the HEDIS MY 2026 Technical Specifications
Join Cotiviti's quality experts as we break down confirmed changes to HEDIS Technical Specifications for MY 2026.
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Blue Plan expands Cotiviti DRG review program amid early success
Learn how one Blue Plan adopted Cotiviti's DRG review solution and achieved triple its original projected findings with Clinical Chart Validation.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Perform Beyond Expectations: Delivering a true solution
Learn how Cotiviti delivers holistic solutions that empower organizations to make informed decisions and take decisive action across quality improvement, payment accuracy, and more.
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Regional plan exceeds expectations with second-pass COB
Learn how a regional health plan enlisted the help of Cotiviti’s retrospective COB Validation solution and started seeing results fast.
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Perform Beyond Doubt: Turning uncertainty into informed action
Learn how Cotiviti empowers health plans to perform beyond doubt with end-to-end support, critical industry benchmarks, and more.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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FWA Insights: Identifying a DME dropshipping scheme
Learn how Cotiviti identified a DME provider that ordered items from a large online retailer, then billed the health plan at heavily marked up rates.
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Perform Beyond Hype: Going beyond buzzwords in healthcare
Learn how Cotiviti performs beyond hype with deep clinical expertise, responsible innovation, and lasting partnerships.
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Decoding HEDIS® MY 2024 for success in MY 2025
Learn key takeaways from the HEDIS MY 2024 season along with measure and timeline changes that will impact health plans for MY 2025.
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7 key steps to build a valuable COB program
Learn how to build a comprehensive, member-centric COB program with prompt monitoring, accurate data, and auditing expertise.
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Avoid payment errors and increase savings with these resources
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Perform Beyond Silos: Uniting people, programs, and partners across healthcare
Learn how Cotiviti’s solutions and delivery model perform beyond silos by bridging program gaps and aligning efforts across departments.
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FWA Insights: Uncovering improper billing in urine drug screens
Learn how Cotiviti's SIU identified a recent scheme in this common area of healthcare fraud, waste, and abuse (FWA).
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Decoding the HEDIS MY 2024 season
Join Cotiviti's Quality and Stars experts as they celebrate MY 2024 successes and review strategies to improve in MY 2025.
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