Join the evolution: Advancing beyond traditional lead detection
Learn how your SIU can identify potential FWA sooner and eliminate wasted time spent on false-positive leads.
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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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Quality Decoded webinar series begins 2/19%%Sign up for 2025 HEDIS and Star Ratings updates
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6 key capabilities to advance beyond traditional FWA lead detection
Learn six key capabilities health plans can incorporate into their FWA programs to maximize prevention, recovery efforts, and operational efficiency.
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Prepay claims editing improves payment accuracy for self-funded employers
Learn how Cotiviti helped one benefit administrator prevent $28M in inappropriate payments for clients.
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Counteracting FWA in dental payments
Learn about common inappropriate dental billing practices and how dental payers can target them through automated solutions and clinical review.
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Introducing Cotiviti's 360 Pattern Review
Learn how Cotiviti's 360 Pattern Review offers comprehensive FWA prevention and management across the entire claim payment cycle, seamlessly integrating with your existing programs and personnel.
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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
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Podcast: Driving lasting impact through interoperability
As TEFCA continues to evolve, Cotiviti joins the RISE Radio podcast to discuss key interoperability updates and strategies for 2025.
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Enabling a high-quality and viable healthcare system
With a steadfast commitment to providing total value, Cotiviti stands out as a strategic partner for health plans aiming to optimize their operations.
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The fundamentals of payment integrity for TPAs
Learn crucial strategies for TPAs to deliver effective payment integrity programs for their self-funded clients.
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CMS Star Ratings: A guide to quality improvement
Read this guide as we break down the CMS Star Ratings, recent changes to the program, and strategies to drive better outcomes.
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Busted: The top fraud schemes of Q3 2024
Physician fraud, genetic testing fraud, and fraudulent DME billing made up some of the most notable FWA cases in the third quarter of 2024.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Case study: Engaging members to apply for the Low-Income Subsidy (LIS)
Learn how one large Medicare Advantage plan successfully helped its members retain critical low-income benefits.
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3 takeaways for Medicare Advantage plans from the 2025 Star Ratings
As Medicare Advantage plans continue to see their Star Ratings decline, here are three takeaways from the newly released 2025 Star Ratings.
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Decoding the 2025 Star Ratings
Watch our webinar to understand the major takeaways from this year’s ratings and how they impact Medicare Advantage plans.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Highmark Wholecare prevents FWA with Claim Pattern Review
Learn how Highmark Wholecare prevented improper payments and FWA with Cotiviti's prepayment integrity solution.
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Coding deep dive: Best practices to improve accuracy
Watch our deep dive into 2024 risk adjustment coding updates, anticipated impact, and long-term trends
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Proactive member engagement strategies to close gaps in Medicare Advantage
Learn tips to prepare for the Annual Election Period and upcoming CMS changes.
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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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Avoid payment errors and increase savings with these resources
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Prepay integrity: What the self-insurance industry needs to know
Learn 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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Decoding the HEDIS MY 2025 Technical Specifications
Learn 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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Partnering for success in 3 critical areas of risk adjustment
Discover best practices to improve your risk adjustment program and strengthen results and compliance.
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