2027 CMS Advance Notice: 4 key updates
Understanding the 2027 CMS Advance Notice is crucial for optimizing plan performance, ensuring compliance, and maintaining a competitive edge.
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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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Risk Adjustment Essentials kicks off on March 3, 2026%%Sign up for our webinar series
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FWA Insights: Preventing overbilling in therapeutic home services
Learn how prospective analytics and expert review uncovered home health billing errors.
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Quality Decoded kicks off Feb. 24, 2026%%Register for our popular webinar series
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3 key payment integrity trends to watch in 2026
As 2026 gets underway, here are three key shifts for payment integrity and compliance teams to monitor.
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Star Ratings reset: How MA plans can prepare
Learn the most impactful changes proposed in November 2025 to the CMS Star Ratings program and how to pivot for success in 2026.
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FWA Insights: Billing for services not rendered
Learn key red flags to look for in healthcare fraud schemes involving services not rendered and how Cotiviti helped identify a multimillion-dollar scheme.
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Get 2026 risk adjustment coding insights%%Watch our on-demand webinar
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Navigating the 2026 ICD-10-CM coding updates
Review key ICD-10-CM updates and adopt best practices to prepare, adjust, and thrive in the new year.
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Podcast: An innovation roadmap for risk adjustment strategies
Senior leaders from Cotiviti and Edifecs offer strategies for building scalable risk adjustment technology initiatives while navigating rising business and regulatory pressures.
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Achieving Star Ratings success in the ECDS era
Learn how to maintain or even boost your Star Ratings as hybrid measures are retired and digital quality becomes the norm.
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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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The practical landscape of AI in payment integrity and VBP
Learn how artificial intelligence can be deployed practically to improve payment integrity and value-based payment operations.
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Payment Integrity Pulse%%Watch our full 2025 webinar series on demand
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FWA Insights: Stopping “phantom providers” with prepay intervention
Learn how phantom provider schemes work and how to stop them with prepay fraud, waste, and abuse interventions.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Evolving healthcare FWA management in 2026 and beyond
Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.
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2026 Star Ratings: What they mean and what comes next
Review the 2026 Star Ratings results, examine key measures and cut point impacts, and learn practical recommendations for boosting Star Ratings performance.
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Protecting employees' healthcare dollars
Learn how self-insured employers can safeguard their employees' healthcare premiums with robust payment integrity programs.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Decoding the 2026 Star Ratings
Join Cotiviti as we break down the 2026 Star Ratings results and offer practical recommendations to help improve your performance and member outcomes in the future.
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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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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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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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Avoid payment errors and increase savings with these resources
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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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