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
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%%Attend the live webinar July 20 at 1 pm ET
Register Today -
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
-
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
-
Loading, please wait
Error - something went wrong!
Subscribe to our blog for healthcare payer insights
Thanks for subscribing!
-
Catching potential drug testing fraud%%Watch the on-demand webinar
Watch Webinar -
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
-
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
-
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
-
The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
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
-
Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
Watch Webinar -
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
-
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
-
Request a demo %% Set up a 1:1 consultation with our experts
Request Demo -
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
-
The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch Webinar -
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
-
Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
Watch Webinar -
5 takeaways from the 2023 Medicare Advantage and Part D Final Rate Announcement
Medicare Advantage plans will see a major 8.5% increase in revenue from the final 2023 Medicare Advantage and Part D Rate Announcement released by CMS.
Read Article
-
Understanding the 2022 CPT code changes %% Watch the on-demand webinar
Watch Webinar -
3 areas of investment for payers to improve health equity in 2022
As CMS, NCQA, and more prioritize health equity, learn how payers can better analyze social determinants of health to reduce disparities in care.
Read Article
-
Avoid payment errors and increase prospective savings
Learn how -
3 critical tools for health plans in navigating the great resignation
Amid significant member churn in 2022, Cotiviti EVP RaeAnn Grossman offers a "great resignation toolkit" for health plans to improve onboarding and the overall member experience.
Read Article
-
HEDIS MY 2023: Noteworthy topics to consider during NCQA’s public comment period
As NCQA seeks feedback on changes to HEDIS measures for Measurement Year 2023, Cotiviti has compiled a few particular topics for health plans to consider.
Read Article
-
CMS 2023 Advance Notice: Health equity takes center stage
Cotiviti leaders break down the 2023 Medicare Advantage and Part D Advance Notice as CMS prioritizes health equity measurement.
Read Article
-
Loading More...
