FWA Insights: Catching inappropriate billing within ASD services
Learn how Cotiviti's SIU caught a fraudulent pattern within applied behavior 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.
-
-
SIU panel discussion: Best practices in FWA%%Register for the 9/27 webinar
Register Today -
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.
Read White Paper
-
Managing a connected claim continuum%%Watch the on-demand webinar
Watch Webinar -
FWA Insights: Flagging for excessive modifiers
Learn how Cotiviti helped one plan identify inappropriate modifiers leading to the identification of a >$1 million overpayment.
Read Article
-
Improving value-based care with Florida Blue Medicare%%Watch the on-demand webinar
Watch Webinar -
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.
Read Article
-
The portfolio approach to managing complex payment integrity programs%%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!
-
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.
Read Article
-
Catching potential drug testing fraud%%Watch the on-demand webinar
Watch Webinar -
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.
Watch Video
-
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
-
The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
Watch Webinar -
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.
Listen to Podcast
-
Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
Watch Webinar -
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
-
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
-
Request a demo %% Set up a 1:1 consultation with our experts
Request Demo -
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
-
The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch Webinar -
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
-
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
-
Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the 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
-
Understanding the 2022 CPT code changes %% Watch the on-demand webinar
Watch Webinar -
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
-
Avoid payment errors and increase prospective savings
Learn how -
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
-
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
-
Loading More...
