What’s old is new again: 3 healthcare fraud trends to watch for in 2022
Here are three common schemes special investigative units (SIUs) should expect to see persist in 2022 and how to combat them.
Read Article
Our latest healthcare payer resources
Improve your payment, risk, and quality outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles.
-
-
CMS Innovation Center sharpens focus on health equity in new strategy refresh
CMS recently released its vision for the CMS Innovation Center in a white paper, Innovation Center Strategy Refresh, which will inform how value-based care payment models are designed and evaluated.
Read Article
-
Preparing for Medicaid renewals in 2022
With the COVID-19 public health emergency designation likely to expire in January 2022, learn how Medicaid plans can reduce churn.
Read Article
-
Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
Watch Webinar -
RISE Webinar: Uniting risk adjustment, HEDIS, and Stars
Learn a "next best action" approach to analytics at the member level with the potential to deliver tangible impact for both risk adjustment and quality improvement programs.
Watch Webinar
-
Loading, please wait
Error - something went wrong!
Subscribe to our blog for healthcare payer insights
Thanks for subscribing!
-
3 reasons retrospective solutions are a vital part of claims payment integrity
Learn why the foundational value of retrospective solutions makes them a vital part of any successful enterprise payment integrity program.
Read Article
-
A proven approach to preventing E&M over-coding
Cotiviti Chief Medical Officer Richard Pozen, M.D., explains how payers can tackle challenging Level 4 and 5 E&M claims while still paying claims promptly and minimizing abrasion.
Read White Paper
-
The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch Webinar -
Podcast: Welcoming, onboarding, and retaining members in the new year
In this podcast, Cotiviti experts discuss member welcome, onboarding, and retention best practices for Medicare Advantage and Medicaid plans.
Listen to Podcast
-
Avoid payment errors and increase prospective savings
Learn how -
Learning from 2022 Star Ratings and planning for 2023–2024
Learn how to interpret your 2022 Star Ratings and get a head start on changes for next year.
Read Article
-
Busted: The top healthcare fraud schemes of Q3 2021
The most nefarious alleged healthcare fraud schemes of Q3 2021 included drug testing schemes, kickbacks, money laundering, and more.
Read Article
-
Closing Gaps in Care for the Most Vulnerable
Writing for Journal of AHIMA, Cotiviti EVP RaeAnn Grossman explains how payers can improve care for vulnerable populations.
Read Article
-
Calculate your risk adjustment opportunity with Cotiviti
See the calculator -
Staving off the “twindemic” by boosting flu immunization rates
As policymakers and other healthcare stakeholders focus on COVID-19 vaccinations, it can be easy to forget the importance of other life-saving immunizations.
Read Article
-
Podcast: Embracing change in healthcare and beyond
Cotiviti SVP of Performance Analytics and Quality joins the HIT Like a Girl podcast to discuss her career, health equity, and healthcare sustainability.
Listen to Podcast
-
Cotiviti GOV Services
Enabling government agencies to maintain payment integrity, optimize risk adjustment, and improve quality outcomes
Read Case Study
-
Dental claim review expertise nets significant savings with minimal abrasion for large dental payer
Learn how one national payer with >6M dental members has yielded significant savings by working with Cotiviti to assist with dental claim reviews.
Read Case Study
-
Execute healthcare claims editing more accurately—with less provider abrasion
Payers should consider several best practices when deploying a claim editing solution that pays claims with the highest accuracy and the lowest provider abrasion.
Read Article
-
4 best practices to prevent rapid disenrollment for Medicare Advantage plans
Here are four proven best practices to remember as you build or improve upon your disenrollment prevention strategy.
Read Article
-
Prioritizing prepayment integrity savings strengthens health plan's competitive position
Read our Savings Spotlight and learn how one health plan with just under 100,000 members achieved a 3.9% annual prepay savings rate with Cotiviti in 2020.
Read Case Study
-
Boosting childhood vaccination rates amid a resurging pandemic
Routine pediatric immunizations are down worldwide. The World Health Organization and UNICEF reported that about 23 million children missed out on basic childhood vaccines last year—one...
Read Article
-
Research: Optimizing payment integrity with enterprise pre and postpayment solutions
Cotiviti surveyed health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs.
Read Research Report
-
Podcast: Cotiviti CEO Emad Rizk, M.D. on payment integrity and interoperability
Cotiviti CEO Emad Rizk, M.D., joins The Incrementalist podcast for a conversation on how to turn healthcare waste into better patient care.
Listen to Podcast
-
Loading More...
