The payment integrity leader’s playbook for success in 2022 and beyond
In our new eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
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In our new eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
Read eBook
MY 2021 HEDIS season wrap-up%%Attend the live webinar July 20 at 1 pm ET
Register TodayWriting for HIT Consultant, Cotiviti SVP of Performance Analytics and Quality Rachael Jones explains how payers can play a vital role in reducing disparities in care.
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Looking to improve your employment verification process to support better coordination of benefits results? Here are three important elements to consider.
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Our new eBook explains the three opportunities for excellence that Medicare Advantage plans must pursue to excel in today's ultra-competitive marketplace.
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Catching potential drug testing fraud%%Watch the on-demand webinar
Watch WebinarCotiviti EVP Jordan Bazinsky shares five critical takeaways from the 2022 Cotiviti Client Conference to improve U.S. healthcare for payers, providers, and patients.
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Learn how Medicaid plans can support whole-person, culturally competent, and equitable care—from enrollment to renewal.
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Discover how the pandemic has affected behavioral health claims and learn different tactics for avoiding fraud, waste, and abuse.
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The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
Watch WebinarLearn about the latest indictments related to healthcare fraud, waste, and abuse (FWA) targeting both public and private payers.
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Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
Watch WebinarThe 340B Drug Pricing Program enables certain providers to get discounts on specific drugs, but it can be confusing. Here’s an FAQ on 340B.
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As OIG raises concerns about beneficiaries' access to care, purposeful, informed decision-making will drive successful financial and clinical results for Medicare Advantage plans.
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Cotiviti president and CEO Emad Rizk, M.D., joins the Healthcare de Jure podcast to discuss the importance of interoperability in advancing value-based care.
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Request a demo %% Set up a 1:1 consultation with our experts
Request DemoLearn the three key areas that Medicare Advantage plans should bolster within their risk adjustment programs to excel in today's competitive environment while helping ensure premium accuracy.
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The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch WebinarWhile many plans lean on prior authorizations to ease the processing of specialty drug claims, our experts explore more comprehensive options for getting claims paid more accurately—and more quickly.
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Learn how Medical Intelligence can solve your analytic challenges and show you the levers to press to help your organization achieve its goals.
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Cotiviti CEO Emad Rizk, M.D. joins the Tuning in to the C-Suite podcast to discuss how health plans can improve member risk assessment for better outcomes. Accurate risk assessment improves
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Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
Watch WebinarMedicare Advantage plans will see a major 8.5% increase in revenue from the final 2023 Medicare Advantage and Part D Rate Announcement released by CMS.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
Watch WebinarAs CMS, NCQA, and more prioritize health equity, learn how payers can better analyze social determinants of health to reduce disparities in care.
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Avoid payment errors and increase prospective savings
Learn howAmid significant member churn in 2022, Cotiviti EVP RaeAnn Grossman offers a "great resignation toolkit" for health plans to improve onboarding and the overall member experience.
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As NCQA seeks feedback on changes to HEDIS measures for Measurement Year 2023, Cotiviti has compiled a few particular topics for health plans to consider.
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Cotiviti leaders break down the 2023 Medicare Advantage and Part D Advance Notice as CMS prioritizes health equity measurement.
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