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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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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How to optimize Medicare Advantage Star Ratings: Introducing Star Intelligence%%Watch now
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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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SIU panel discussion%% Watch the on-demand webinar and optimize your SIU
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How payers can drive collaboration to support health equity
For health plans dedicated to advancing equitable healthcare outcomes, here are three data-driven, collaborative strategies to consider.
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Improving value-based care with Florida Blue Medicare%%Watch the on-demand webinar
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2023 Star Ratings Reflections
Take a deep dive with Cotiviti into 2023 Star Ratings as we explore how we got here, share observations, and discuss strategies and interventions.
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Busted: The top fraud schemes of Q3 2022
Read our summary of the most prominent cases of alleged healthcare fraud from July through September 2022.
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Catching potential drug testing fraud%%Watch the on-demand webinar
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Managing a connected claim continuum%%Watch the on-demand webinar
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3 key tips for managing your payment integrity portfolio
Payment integrity is a complex and layered process that requires health plans to look across the silos of their own organization and often use multiple vendors to create an integrated...
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MY 2021 HEDIS season wrap-up%%Watch the on-demand webinar
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Bouncing back from the 2023 Star Ratings
With many Medicare Advantage plans seeing a decline in the 2023 Star Ratings, here are three strategies from Cotiviti to help plans regain their footing.
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The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
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FWA Insights: Managing FWA for dental claims
Learn the latest in dental FWA and explore best practices for prevention.
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Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
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OIG risk adjustment compliance audit showcases 3 clear takeaways
Amid OIG scrutiny of Medicare Advantage risk adjustment coding practices, Cotiviti offers three takeaways for plans looking to strengthen their programs.
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FWA Insights: Spotting overpayments in mental health services
Learn how Cotiviti’s SIU uncovered an overpayment of over $2 million related to mental health services.
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Developing trust with Medicare Advantage members through better engagement
Learn the critical elements of creating a positive member experience from the outset for Medicare Advantage plans, beginning with building trust with the power of multi-channel communications.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Driving collaboration to support health equity
Watch our AHIP webinar and learn the right steps to make the goal of health equity a reality.
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FWA Insights: Catching inappropriate billing within ASD services
Learn how Cotiviti's SIU caught a fraudulent pattern within applied behavior analysis.
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FWA Insights: Flagging for excessive modifiers
Learn how Cotiviti helped one plan identify inappropriate modifiers leading to the identification of a >$1 million overpayment.
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Moving to in-year HEDIS: 5 best practices to boost scores and member engagement
Learn five best practices for shifting from a retrospective HEDIS strategy to a proactive in-year strategy, enabling plans to boost scores and member engagement.
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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: Spotting red flags in adult day care claims
Learn how Cotiviti’s SIU identified an adult day care scheme that led to a $1 million overpayment.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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Video: How to shorten time to payment integrity results
Learn how Cotiviti delivers as much as 80% of payment integrity savings before payment occurs—with robust auditing of complex claims that must be processed postpayment.
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Avoid payment errors and increase prospective savings
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How quality insights and collaboration improve quality and performance for a large nonprofit health plan
Learn how one large nonprofit health plan uses Cotiviti’s Quality Intelligence to support year-round initiatives across HEDIS, Star Ratings, and more.
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Podcast: Cotiviti SVP Rachael Jones on health equity strategy
Cotiviti SVP Rachael Jones explains how health plans, employers, and other healthcare stakeholders can build a scalable health equity strategy.
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FWA Insights: Flagging potential physical therapy schemes
Learn how Cotiviti’s SIU flagged an excess of CPT 97799 codes through prepayment review and data analysis.
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