Best of 2023: Improve payment integrity, quality measurement, member engagement, and more

Carry new strategies from Cotiviti’s 2023 most popular content into the new year. Learn best practices across payment integrity, quality improvement, member engagement, and more.

Close more care gaps for your members in 2024

In this new and comprehensive eBook, we explore 12 key focus areas for improving member care and quality scores with better messaging, collaboration, and prevention.

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CMS Star Ratings Calendar

Take a look at this newly updated calendar as a reminder of proposed and confirmed upcoming changes to the CMS Star Ratings system for 2024 and beyond.

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Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025

Learn the changes NCQA is proposing for HEDIS Measurement Year (MY) 2024 and MY 2025.

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Podcast: Enhancing interoperability for better risk and quality outcomes

Listen to the RISE Radio podcast and learn how interoperability supports risk adjustment and quality improvement programs.

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4 strategies to curb medical cost increases as healthcare utilization rebounds

When the COVID-19 pandemic accelerated rapidly in early 2020, the impact on healthcare utilization was sharp, dropping nearly 32% in April 2020 as both providers and healthcare consumers...

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The "smart prepay" approach to payment integrity

Learn how a managed service model addresses the five critical dimensions of payment integrity versus a software-only approach.

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FWA Insights: Prepay review leads to >$100K in projected annual savings

Learn how Cotiviti's SIU identified a suspicious pattern of psychotherapy claims from one provider, preventing inappropriate claims from being paid.

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Rounding up Star Ratings changes in the 2024 Advance Notice

Here's a summary of pending changes to the 2025 and 2026 Star Ratings released by the Centers for Medicare & Medicaid Services (CMS).

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