Our latest healthcare resources

Improve payment integrity, risk adjustment, quality, and 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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Better outcomes for payers and providers

Stay on top of the latest healthcare insights from Cotiviti's experts.

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Quality and Stars

2027 CMS Final Rule: What’s changing in Star Ratings and next steps for success

Keep up with the latest proposed and confirmed changes to the CMS Star Ratings program in 2026 and beyond.

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Payment Accuracy

The importance of a strong postpay data mining program

Prepay edits alone are not enough to capture a large variety of overpayment scenarios. Learn why a strong payment integrity strategy requires postpay data mining.

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Risk Adjustment

Reexamining standards for better risk adjustment coding

Learn how to leverage medical coding structures for better risk adjustment practices.

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Fraud Waste and Abuse

Live Webinar: Waste and abuse in behavioral health

Join us on 5/19 for expert insight into new Medicaid FWA trends, real case examples, and strategies to stop fraud.

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Payment Accuracy

Inpatient claim review in 2026: 5 key trends and recommendations

Managing inpatient risk today requires a more targeted, data‑driven strategy—one that prioritizes precision, accuracy, and sustainability.

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Payment Accuracy

Prepay DRG Review cuts significant time to value

Added prepay functionality helps one health plan realize a 45% increase in overall program value.

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Fraud Waste and Abuse

FWA Insights: New behavioral health codes for APCM services

Learn what SIUs should know about the new add‑on codes, how they differ from previous requirements, and the potential vulnerabilities to errors, upcoding, and fraud.

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Payment Accuracy

AI-driven data mining protects medical pharmacy claim accuracy

Discover how one Cotiviti client used data mining to identify high-value and complex medical pharmacy errors.

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Payment Accuracy

Correct coding: Why it’s vital across health plan operations

The value of correct coding extends far beyond claims reimbursement and into the foundation of data quality, policy development, and patient care.

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Waste and abuse in behavioral health

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Risk Adjustment Essentials

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Quality Decoded

Get critical HEDIS and Star Ratings updates from our popular webinar series

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