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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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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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.
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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
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Tips from RISE National 2022 for risk adjustment success
RISE co-chair RaeAnn Grossman explains how Medicare Advantage plans can limit audit exposure and offers other risk adjustment advice for 2022.
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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.
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Podcast: Welcoming, onboarding, and retaining members in the new year
In this podcast, Cotiviti experts discuss member welcome, onboarding, and retention best practices for Medicare Advantage and Medicaid plans.
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Could AI reduce healthcare waste?
Cotiviti EVP Nicole Neumarker explains how healthcare organizations can follow the example of online retailers in combatting waste.
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The Journey to 4-Star Performance: How Data Analytics Make the Difference
Cotiviti SVP Rachael Jones joins The Health Plan to discuss how to improve Star Ratings performance.
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Podcast: Cotiviti CEO Emad Rizk, M.D. on payment integrity and interoperability
Cotiviti CEO Emad Rizk, M.D., joins The Incrementalist podcast for a conversation on how to turn healthcare waste into better patient care.
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Video: Ensuring that healthcare data is shared ethically
To care for their members and patients, payers and providers must often share significant amounts of healthcare data across organizations—and ensure that data is protected and only...
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Podcast: The role of AI during COVID-19 and in a post-pandemic world
While COVID-19 has shifted many healthcare payers' priorities in the past year, organizations are also looking at where they will make their long-term technology investments once the...
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Podcast: How to sharpen your inpatient auditing program with better chart selection
Listen to our podcast as we discuss how health plans can be more selective and focus on pursuing medical records that will actually return value back to the plan.
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Podcast: Excellus BlueCross BlueShield's data lake journey
As they look to tame their data and turn it into actionable insights, many payers are significantly ramping up their data analytics strategy by building a data lake.
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Podcast: How to step up claim overpayment recovery results
Payment accuracy programs are critical to delivering value to health plan members. Some plans excel at recovery management while others struggle—and the difference in financial results is significant.
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Podcast: The keys to successful claim overpayment recovery
Managing payment recovery is very hard to accomplish without increasing provider abrasion. And this proves especially difficult when using collection agencies that aren't experts in healthcare claims.
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Cotiviti achieves 20 years of HEDIS® certification amid expanding quality landscape
To build a successful quality improvement program, health plans not only must stay ahead of annual changes to HEDIS® reporting requirements, but also a continually expanding list of...
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Video: Forecasting COVID-19 outbreaks in Massachusetts and beyond
As numerous regions around the country see surges of COVID-19 outbreak, Cotiviti's Outbreak Tracker continues to accurately predict which counties are at risk within the next seven to...
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Podcast: A better approach to clinical appropriateness in claims payment
Listen to our podcast and learn how to ensure that claims are clinically appropriate through a combination of coordinated technology and human review.
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Podcast: Cotiviti's Jordan Bazinsky on the state of payer data
Improving interoperability between healthcare systems has long been a challenge for both payers and providers, but the next few years could bring substantial progress toward this goal....
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