Program Integrity Pulse: Lessons learned from a successful prepay FWA program
Learn Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
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Learn Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
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Risk adjustment coding deep dive%%Attend our 10/17 RISE webinar
Register NowLearn how TPAs can deliver a high-performing payment integrity program to their plan sponsor clients—and why it matters more than ever.
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Breaking down the 2025 Star Ratings%%Register for our next Quality Decoded webinar
Register NowLearn what health plans need to know for HEDIS Measurement Year (MY) 2025, including measure retirements, new measures, and changes to existing measures.
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Discover best practices to improve your risk adjustment program and strengthen results and compliance.
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Learn how to untangle the complexity of skilled nursing facility (SNF) and impatient rehab facility (IRF) claims.
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Watch our webinar as we discuss how proactive, multi-channel approaches to member engagement can significantly improve gap closure, member satisfaction, and plan growth.
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Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in the annual Technical Specifications publication.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
Visit nowCotiviti joins AJMC's Managed Care Cast to discuss strategies smaller Medicare Advantage plans can adopt to improve Star Ratings
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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
Learn MoreLearn how to deploy AI responsibly in your payment integrity program—and separate fact from fluff when evaluating vendors.
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Discover how health plans can gain better risk adjustment results using external solutions to improve retrieval results, advance interoperability, and drive coding accuracy.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
Contact usWatch our on-demand webinar as we highlight key considerations for combining in-house risk adjustment capabilities with vendor partnerships to strengthen results and compliance.
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Learn the importance of accurate data, advanced analytics, and specialized expertise to execute a high-functioning, end-to-end coordination of benefits (COB) program.
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Learn how Cotiviti’s SIU identified a physical therapy outlier and discovered patterns of inappropriate billing.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBookRead a rundown of notable healthcare fraud, waste, and abuse cases, including a >$2 billion nationwide bust.
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Discover insights from Cotiviti on overcoming challenges in healthcare interoperability and data exchange in the digital age.
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Listen to the Payment Integrity Insights podcast as we discuss Cotiviti’s four core principles for artificial intelligence.
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Discover how Cotiviti is enabling health plans to navigate challenges such as Medicaid redetermination and health equity to drive better member outcomes.
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Avoid payment errors and increase savings with these resources
Learn howLearn how Cotiviti is deploying artificial intelligence responsibly to improve results for health plans.
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With the HEDIS Measurement Year (MY) 2023 season recently concluded, it’s crucial to reflect on the outcomes and strategically prepare for MY 2024.
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Cotiviti's Erin Rutzler, vice president of fraud, waste, and abuse, explains how Cotiviti is empowering health plans to navigate new frontiers in payment integrity.
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