Unlocking business value through interoperability: 3 key strategies
Learn three essential strategies to help payers maximize the value of their interoperability investments as key industry deadlines draw closer.
Read Article
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.
-
-
Key takeaways from HEDIS MY 2024%%Register for our next Quality Decoded webinar
Register Now -
Large Medicaid payer protects taxpayer dollars, financial integrity with prepay review
Learn why one large Medicaid plan realizes value from Cotiviti's prepay solutions and differentiated service model.
Read Case Study
-
Payment policy trends and insights%%Watch our latest payment integrity webinar on demand
Watch Now -
CCC25: 3 key pillars required to perform beyond healthcare challenges
Learn about the three key values that guide Cotiviti's relationship with our clients: transparency, authenticity, and accountability.
Read Article
-
Navigating dental claim FWA: The impact of abused codes and claim splitting
Learn the top dental procedures that are frequently misused as we examine their causes, consequences, and the steps necessary to mitigate the effects of fraudulent and abusive billing.
Read eBook
-
Prepay coordination of benefits (COB) boosts payment integrity results for large national payer
Learn how health plans can prevent overpayments, reduce future erroneous payments, and confirm that primary payment responsibility is correctly assigned—all while lowering provider abrasion.
Read Case Study
-
Everest Group names Cotiviti the highest-designated Leader in Payment Integrity%%Read the Payment Integrity Solutions PEAK Matrix® Assessment 2025
Read the Report -
Unlocking value from interoperability investments
Watch our on-demand RISE webinar to gain expert insights on how to navigate interoperability challenges, enhance data connectivity, and drive measurable value for your organization.
Watch Webinar
-
Loading, please wait
Error - something went wrong!
Subscribe to our blog for healthcare payer insights
Thanks for subscribing!
-
Optimizing payment integrity for emergency department E/M claims
Learn three key trends shaping emergency department (ED) E/M claims as we examine their impact on payers and payment integrity programs.
Read White Paper
-
FWA Insights: Excessive dental restorations
Learn how Cotiviti's SIU identified excessive billing for dental restorations to safeguard payment integrity and appropriate member care.
Read Article
-
Visit our YouTube channel%%Subscribe for our latest webinars and more
Visit Now -
Risk adjustment: 4 strategies as CMS increases RADV audits
Learn how to prepare for CMS's new risk adjustment audit methodology for Medicare Advantage plans in 2025 and beyond.
Read Article
-
Medical pharmacy data mining innovation uncovers significant findings for large national plan
Learn how a multi-state managed care organization identifies complex pharmacy errors and more with Cotiviti’s solutions.
Read Case Study
-
Talk with an expert %% Learn more about how our solutions can help you meet your goals
Contact us -
Star Ratings: 4 recommendations for the 2026 CMS Final Rule
Learn about key updates from the CMS Final Rule and how to prepare for Star Ratings success in 2026 and beyond.
Read Article
-
FWA Insights: Solving durable medical equipment (DME) challenges
Learn how Cotiviti's investigators took action when one provider stood out for excessive durable medical equipment (DME) billing of Medicare.
Read Article
-
Payment integrity: Unlocking the value of complex outpatient reviews
Learn about one of the most impactful and often underutilized tools in a high-performing payment integrity program: the complex outpatient review.
Read Article
-
Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBook -
Key commercial risk adjustment updates as 2026 approaches
Learn about key changes to the commercial risk adjustment program from the 2026 Payment Notice as we offer key strategies for health plans to prepare and strengthen their efforts.
Read White Paper
-
Busted: The top fraud schemes of Q1 2025
Read our summary of how bad actors allegedly deployed kickbacks, false claims, and exploitation of vulnerable patients to defraud health plans in Q1 of 2025.
Read Article
-
Decoding the 2026 CMS Final Rule
Watch as we summarize the 2026 Medicare Advantage and Part D Final Rule and its implications for the Star Ratings program.
Watch Webinar
-
3 updates from the 2026 CMS Final Rate Announcement
CMS has finalized a >5% payment increase in the Medicare Advantage and Part D Rate Announcement for calendar year 2026.
Read Article
-
Avoid payment errors and increase savings with these resources
Learn how -
FWA Insights: Skin grafts and substitutes
Learn how prepay FWA review identified over half a million dollars in skin substitute overpayments for one client.
Read Article
-
Unparalleled analytics inform key payment integrity decisions for large payer
Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
Read Case Study
-
Payment Integrity Pulse: 2025 regulatory and market changes
Learn more about the impact of CPT code changes in E/M, the shift from inpatient to outpatient utilization, and more.
Watch Webinar
-
Loading More...
