Prepay FWA review leads to >$100,000 in projected annual savings
Learn how Cotiviti's SIU identified a suspicious pattern of psychotherapy claims from one provider, preventing inappropriate claims from being paid.
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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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Sequencing investigative activities for greater provider impact%%Attend the live webinar on Tuesday, March 28
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Closing the Gap: Improve screening rates during Colorectal Cancer Awareness Month
Stay up to date on quality measures related to colorectal cancer screening and improve member outcomes.
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How to optimize Medicare Advantage Star Ratings: Introducing Star Intelligence%%Watch now
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The elements of a highly successful COB strategy
Cotiviti SVP of Coordination of Benefits Naomi Murphy breaks down the four critical elements of a prospective COB program.
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Preparing for investigative FWA strategies in 2023%%Watch on demand
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Podcast: How health plans investigate and prevent FWA
Cotiviti VP of Fraud, Waste, and Abuse Erin Rutzler joins the Healthcare de Jure podcast to discuss the ins and outs of healthcare fraud prevention and management.
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Improving value-based care with Florida Blue Medicare%%Watch the on-demand webinar
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NCQA releases proposed HEDIS changes for MY 2024 and MY 2025
Watch our video as Cotiviti summarizes the major changes NCQA has proposed for the HEDIS program.
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Catching potential drug testing fraud%%Watch the on-demand webinar
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Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025
Learn the changes NCQA is proposing for HEDIS Measurement Year (MY) 2024 and MY 2025.
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SIU panel discussion%% Watch the on-demand webinar and optimize your SIU
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Closing the Gap: Preventative measures for better heart health
Preventative heart health care starts with member engagement. Pay close attention to these quality measures during American Heart Month.
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MY 2021 HEDIS season wrap-up%%Watch the on-demand webinar
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Rounding up Star Ratings changes in the 2024 Advance Notice
Here's a summary of pending changes to the 2025 and 2026 Star Ratings released by the Centers for Medicare & Medicaid Services (CMS).
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Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
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Busted: The top fraud schemes of Q4 2022
Cotiviti rounds up some of the most prominent cases of alleged healthcare fraud from the fourth quarter of 2022.
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Managing a connected claim continuum%%Watch the on-demand webinar
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Taking action to prepare for Medicaid redetermination
Learn how Medicaid plans can take action to prevent disenrollment as redeterminations begin in April 2023.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Forging ahead after the Medicare Advantage RADV Final Rule
Here are three strategies Medicare Advantage plans should consider in light of the RADV Final Rule released by CMS in January 2023.
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FWA Insights: Navigating 2023 CPT code changes
Explore the latest CPT code updates and areas for payers to scrutinize in the new year.
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Closing the Gap: Improving cervical cancer prevention
January is cervical cancer awareness month. How will you boost preventative care?
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The payment integrity playbook for success in 2023 and beyond
In our newly updated eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
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Close gaps in care with integrated quality improvement and member engagement
With so much at stake, health plans need synergy between their quality improvement and member engagement solutions.
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Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
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FWA Insights: Catching improper billing within genetic testing and molecular pathology
Learn different FWA patterns specific to genetic testing services from Cotiviti’s SIU.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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Maintaining a strong and successful SIU in 2023
As the “Great Resignation” continues to impact health plan staffing, here are 5 tips to help your health plan retain SIU employees and foster team bonding.
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Avoid payment errors and increase prospective savings
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How Data Mining helps clean up your claim payment stream
Learn how to leverage our analytics and data mining tools to recover high-value overpayments.
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Preparing for the unwinding of the Public Health Emergency (PHE)
Learn how to prevent disenrollment when the COVID-19 public health emergency (PHE) expires.
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How to build risk adjustment into your value-based care strategy
Learn practical approaches to execute risk adjustment strategies and drive program success in our on-demand RISE webinar.
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