FWA Insights: Solving durable medical equipment (DME) challenges
Learn how Cotiviti's investigators took action when one provider stood out for excessive durable medical equipment (DME) billing of Medicare.
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Learn how Cotiviti's investigators took action when one provider stood out for excessive durable medical equipment (DME) billing of Medicare.
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Everest Group names Cotiviti the highest-designated Leader in Payment Integrity%%Read the Payment Integrity Solutions PEAK Matrix® Assessment 2025
Read the ReportLearn about one of the most impactful and often underutilized tools in a high-performing payment integrity program: the complex outpatient review.
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Quality Decoded webinar series%%Register for critical HEDIS and Star Ratings updates
Register NowLearn about key changes to the commercial risk adjustment program from the 2026 Payment Notice as we offer key strategies for health plans to prepare and strengthen their efforts.
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Read our summary of how bad actors allegedly deployed kickbacks, false claims, and exploitation of vulnerable patients to defraud health plans in Q1 of 2025.
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Learn how health plans can prevent overpayments, reduce future erroneous payments, and confirm that primary payment responsibility is correctly assigned—all while lowering provider abrasion.
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Watch as we summarize the 2026 Medicare Advantage and Part D Final Rule and its implications for the Star Ratings program.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
Visit NowCMS has finalized a >5% payment increase in the Medicare Advantage and Part D Rate Announcement for calendar year 2026.
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Learn how prepay FWA review identified over half a million dollars in skin substitute overpayments for one client.
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Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
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Learn more about the impact of CPT code changes in E/M, the shift from inpatient to outpatient utilization, and more.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
Contact usSome of the most prominent FWA cases of Q4 2024 included fraudulent billing, illegal kickbacks, and other misconduct that frequently jeopardized patient safety.
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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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Learn how a more collaborative, transparent approach to provider audits can help health plans maintain compliance while fostering productive provider relationships.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
Read the eBookWatch our brief webinar to learn what you need to know about NCQA's proposed updates for HEDIS Measurement Year (MY) 2026.
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Learn how Cotiviti helped deliver a significant increase in overpayment recoveries through data mining expertise.
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Learn NCQA's proposed new measures, measure retirements, and other changes for HEDIS Measurement Year (MY) 2026.
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Learn how one mid-sized health plan uses prepay claim editing to improve its competitive position.
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Avoid payment errors and increase savings with these resources
Learn howReview the 2026 CMS Medicare Advantage and Part D Advance Notice as we break down proposed measure and policy changes from a quality perspective.
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Learn how health plans can stay vigilant for FWA amid CMS’s changing telehealth guidelines.
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Learn how to bolster risk adjustment efforts with our best practices.
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