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.
Read Article
Our latest healthcare payer resources
Improve your payment, risk, and quality outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles.
-
-
MY 2021 HEDIS season wrap-up%%Watch the on-demand webinar
Watch Webinar -
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.
Read Case Study
-
FWA Insights: How to catch a DME scheme
Learn how Cotiviti’s eagle-eyed SIU caught a chiropractor billing multiple times for durable medical equipment (DME).
Read Article
-
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.
Read eBook
-
Catching potential drug testing fraud%%Watch the on-demand webinar
Watch Webinar -
Loading, please wait
Error - something went wrong!
Subscribe to our blog for healthcare payer insights
Thanks for subscribing!
-
HEDIS® strategies: 4 ways to prepare for the ECDS transition
As NCQA continues to transition measures to the electronic clinical data systems (ECDS) reporting standards, Cotiviti offers four strategies that can help.
Read Article
-
Rising telehealth: Catching FWA in behavioral health claims
Discover how the pandemic has affected behavioral health claims and learn different tactics for avoiding fraud, waste, and abuse.
Read White Paper
-
Optimize and expedite DRG review with Clinical Chart Validation
Learn how Cotiviti's new cross-claim clinical review feature adds incremental value and can speed the DRG review process without sacrificing accuracy.
Read Case Study
-
The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
Watch Webinar -
Why health plans are vital to health equity
Writing 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.
Read Article
-
Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
Watch Webinar -
3 key elements of a successful employment verification process
Looking to improve your employment verification process to support better coordination of benefits results? Here are three important elements to consider.
Read Article
-
Achieving risk adjustment excellence in the hyper-competitive Medicare Advantage landscape
Our new eBook explains the three opportunities for excellence that Medicare Advantage plans must pursue to excel in today's ultra-competitive marketplace.
Read eBook
-
Moving from surviving to thriving: 5 takeaways from CCC22 to improve U.S. healthcare
Cotiviti EVP Jordan Bazinsky shares five critical takeaways from the 2022 Cotiviti Client Conference to improve U.S. healthcare for payers, providers, and patients.
Read Article
-
Request a demo %% Set up a 1:1 consultation with our experts
Request Demo -
Engaging Medicaid members to take action
Learn how Medicaid plans can support whole-person, culturally competent, and equitable care—from enrollment to renewal.
Read White Paper
-
The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch Webinar -
Busted: The top fraud schemes of Q1 2022
Learn about the latest indictments related to healthcare fraud, waste, and abuse (FWA) targeting both public and private payers.
Read Article
-
Section 340B overview: Medicare, Medicaid, covered entities, and more
The 340B Drug Pricing Program enables certain providers to get discounts on specific drugs, but it can be confusing. Here’s an FAQ on 340B.
Read Article
-
OIG report highlights beneficiary protections as Medicare Advantage program grows
As OIG raises concerns about beneficiaries' access to care, purposeful, informed decision-making will drive successful financial and clinical results for Medicare Advantage plans.
Read Article
-
Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
Watch Webinar -
Podcast: The importance of interoperability in value-based care
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.
Listen to Podcast
-
Understanding the 2022 CPT code changes %% Watch the on-demand webinar
Watch Webinar -
Medicare Advantage risk adjustment in 2022: Driving to fierce and focused
Learn 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.
Read Article
-
Avoid payment errors and increase prospective savings
Learn how -
Specialty Drugs: Ensuring payment accuracy beyond prior authorizations
While 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.
Read White Paper
-
Demo: Solve your analytic challenges with Medical Intelligence
Learn how Medical Intelligence can solve your analytic challenges and show you the levers to press to help your organization achieve its goals.
Watch Webinar
-
Podcast: Improving risk assessment for better care outcomes
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
Listen to Podcast
-
Loading More...
