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.
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Watch as we summarize the 2026 Medicare Advantage and Part D Final Rule and its implications for the Star Ratings program.
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CMS has finalized a >5% payment increase in the Medicare Advantage and Part D Rate Announcement for calendar year 2026.
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Quality Decoded webinar series%%Register for critical HEDIS and Star Ratings updates
Register NowLearn how prepay FWA review identified over half a million dollars in skin substitute overpayments for one client.
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Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
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Learn more about the impact of CPT code changes in E/M, the shift from inpatient to outpatient utilization, and more.
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Some of the most prominent FWA cases of Q4 2024 included fraudulent billing, illegal kickbacks, and other misconduct that frequently jeopardized patient safety.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
Visit NowLearn how a more collaborative, transparent approach to provider audits can help health plans maintain compliance while fostering productive provider relationships.
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Watch our brief webinar to learn what you need to know about NCQA's proposed updates for HEDIS Measurement Year (MY) 2026.
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Learn how Cotiviti helped deliver a significant increase in overpayment recoveries through data mining expertise.
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Learn NCQA's proposed new measures, measure retirements, and other changes for HEDIS Measurement Year (MY) 2026.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
Contact usLearn how one mid-sized health plan uses prepay claim editing to improve its competitive position.
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Review the 2026 CMS Medicare Advantage and Part D Advance Notice as we break down proposed measure and policy changes from a quality perspective.
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Learn how health plans can stay vigilant for FWA amid CMS’s changing telehealth guidelines.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBookLearn how to bolster risk adjustment efforts with our best practices.
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Learn key recommendations for healthcare payers to incorporate into their interoperability strategies for 2025 and beyond.
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Learn about the opportunities and challenges payers face over the next five years as they implement a digital quality transition strategy.
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Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.
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Avoid payment errors and increase savings with these resources
Learn howLearn the key proposed updates for Medicare Advantage plans from a risk adjustment and quality perspective.
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Learn how your SIU can identify potential FWA sooner and eliminate wasted time spent on false-positive leads.
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Learn six key capabilities health plans can incorporate into their FWA programs to maximize prevention, recovery efforts, and operational efficiency.
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