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Fraud, Waste, and Abuse (FWA) Management solution

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Detect and deter fraud, waste, and abuse (FWA) while meeting compliance and financial goals

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Designed by credentialed investigators in collaboration with clinical, claims, and regulatory specialists, Cotiviti’s end-to-end FWA Management solutions adapt to emerging fraud schemes and compliance requirements. Our integrated solution set applies data analysis, decisions, and insights from one module into the rules and algorithms of other modules, creating an even stronger, anti-fraud solution.

  • Reduce medical costs by recovering more FWA dollars
  • Reduce false-positive leads
  • Increase case management efficiency by ~35%
  • Achieve regulatory compliance
  • Achieve return on investment (ROI) of up to 15:1 while improving payment integrity