Cotiviti Resources

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Be certain about your payment integrity partner

Case Study

Accelerating value-driven care: A comprehensive approach to provider specialty tiering

On-Demand Webinar

Turning the page on an unprecedented 2020 HEDIS season

On-Demand Webinar

Finding payment integrity success in an evolving COVID-19 environment

White Papers / Perspectives

Under pressure: How Medicaid plans can overcome the inevitable strain of COVID-19

On-Demand Webinar

Advancing value-based payment: One plan’s journey

Case Study

New York health plan cracks massive diagnostic testing scheme for pre-pay FWA savings

On-Demand Webinar

Balancing prospective and retrospective claim payment accuracy

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FWA Validation

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Coding Validation

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Payment Policy Management

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Payment Data Validation

White Papers / Perspectives

Transitioning from post-payment recovery to prospective validation

Video

The HEDIS® 2020 path to success

Video

How HEDIS® recertification impacts health plans

Video

Performing more prospective validation of clinical claims

On-Demand Webinar

Maximize the retrospective value chain

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Maximize the retrospective value chain

Checklist

The HEDIS 2020 path to success

Case Study

Busted: How a major Minnesota health plan built a strong case leading to a chiropractor’s fraud conviction

On-Demand Webinar

Decoding the 2020 CPT® code changes

White Papers / Perspectives

The three fundamentals of risk adjustment success

Checklist

8 tips to help you find the FWA needle in the haystack with Excel

Case Study

Advanced analysis and collaboration drives >$1 million overpayment recovery success for Health Partners Plans

Podcast

The insider's guide to clinical appropriateness

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SIU Services

White Papers / Perspectives

Analysis: the financial impact of the 2019–2020 CMS-HCC risk adjustment model changes

On-Demand Webinar

The continuous quest for quality

On-Demand Webinar

Get more bang for your buck: adjusting pre-pay approaches in a changing landscape

On-Demand Webinar

Get the facts: the clinical and financial impact of the CMS PY 2020 risk adjustment model

Podcast

How to step up claim overpayment recovery results

Video

Data integration and the emergence of answers to unsolvable problems

Podcast

The keys to successful claim overpayment recovery

Podcast

How to sharpen your inpatient auditing program with better chart selection

On-Demand Webinar

Don’t lose your edge: commercial risk adjustment best practices

White Papers / Perspectives

Key takeaways from the 2020 Medicare Advantage and Part D Rate Announcement and Final Call Letter

Podcast

Excellus BlueCross BlueShield's data lake journey

Case Study

Powerful, nimble healthcare data analytics provide market differentiation for The Partners Group

Podcast

A path to success in the changing data management landscape

Checklist

10 tips for a seamless commercial risk adjustment program

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Cotiviti Solutions Flipbook

White Papers / Perspectives

Do this one thing right: make data a part of your business value

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Medical Intelligence for Employers and Brokers

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Contract Compliance

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Medical Record Coding

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Medical Record Retrieval

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Submissions

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Suspect Analytics

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In-Home Assessments

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FWA Management

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COB Validation

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Clinical Chart Validation

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Medical Record Abstraction

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Network Intelligence

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DxCG Intelligence

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Medical Intelligence

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Star Navigator

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Quality Intelligence

On-Demand Webinar

Decoding the 2019 CPT® changes

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Quality and Performance solutions

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Payment Accuracy solutions

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Risk Adjustment solutions

White Papers / Perspectives

Survey: the changing quality improvement landscape

White Papers / Perspectives

The evolution of DxCG, the gold standard in risk adjustment and predictive modeling

White Papers / Perspectives

A new ecosystem for payer intelligence: How data lakes could feed insights for improved health

Podcast

Validating clinical claims without medical record review

Podcast

Fighting healthcare fraud and abuse with NHCAA

Podcast

HEDIS measure changes on the horizon