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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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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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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Breaking down the 2025 Star Ratings%%Register for our next Quality Decoded webinar
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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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Recovering improper costs in SNF and IRF claims
Learn how to untangle the complexity of skilled nursing facility (SNF) and impatient rehab facility (IRF) claims.
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Engaging with members at the end of the year
Watch our webinar as we discuss how proactive, multi-channel approaches to member engagement can significantly improve gap closure, member satisfaction, and plan growth.
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Breaking down the HEDIS MY 2025 Technical Specs
Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in the annual Technical Specifications publication.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Podcast: Star Ratings strategies for smaller MA plans
Cotiviti joins AJMC's Managed Care Cast to discuss strategies smaller Medicare Advantage plans can adopt to improve Star Ratings
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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
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eBook: The evolving role of artificial intelligence in payment integrity
Learn how to deploy AI responsibly in your payment integrity program—and separate fact from fluff when evaluating vendors.
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How your risk adjustment partner can drive value
Discover how health plans can gain better risk adjustment results using external solutions to improve retrieval results, advance interoperability, and drive coding accuracy.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Improving risk adjustment: Integrating internal and external innovations
Watch our on-demand webinar as we highlight key considerations for combining in-house risk adjustment capabilities with vendor partnerships to strengthen results and compliance.
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eBook: The three pillars of coordination of benefits (COB) success for health plans
Learn the importance of accurate data, advanced analytics, and specialized expertise to execute a high-functioning, end-to-end coordination of benefits (COB) program.
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FWA Insights: Catching outlier behaviors in physical therapy claims
Learn how Cotiviti’s SIU identified a physical therapy outlier and discovered patterns of inappropriate billing.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Busted: The top fraud schemes of Q2 2024
Read a rundown of notable healthcare fraud, waste, and abuse cases, including a >$2 billion nationwide bust.
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Navigating new frontiers in interoperability
Discover insights from Cotiviti on overcoming challenges in healthcare interoperability and data exchange in the digital age.
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Podcast: Deploying AI in payment integrity responsibly
Listen to the Payment Integrity Insights podcast as we discuss Cotiviti’s four core principles for artificial intelligence.
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Navigating new frontiers in member engagement
Discover how Cotiviti is enabling health plans to navigate challenges such as Medicaid redetermination and health equity to drive better member outcomes.
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Avoid payment errors and increase savings with these resources
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Podcast: Artificial intelligence in payment integrity
Learn how Cotiviti is deploying artificial intelligence responsibly to improve results for health plans.
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Wrapping up the end of HEDIS MY 2023 season
With the HEDIS Measurement Year (MY) 2023 season recently concluded, it’s crucial to reflect on the outcomes and strategically prepare for MY 2024.
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Navigating new frontiers in FWA and payment integrity
Cotiviti's Erin Rutzler, vice president of fraud, waste, and abuse, explains how Cotiviti is empowering health plans to navigate new frontiers in payment integrity.
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