FWA Insights: Catching inappropriate billing within ASD services
Learn how Cotiviti's SIU caught a fraudulent pattern within applied behavior analysis.
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Our latest healthcare payer resources
The newest resources from Cotiviti to help power your payment integrity, risk adjustment, quality reporting, and performance analytics programs.
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SIU panel discussion: Best practices in FWA%%Register for the 9/27 webinar
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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.
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Managing a connected claim continuum%%Watch the on-demand webinar
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FWA Insights: Flagging for excessive modifiers
Learn how Cotiviti helped one plan identify inappropriate modifiers leading to the identification of a >$1 million overpayment.
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Improving value-based care with Florida Blue Medicare%%Watch the on-demand webinar
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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.
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The portfolio approach to managing complex payment integrity programs%%Watch the on-demand webinar
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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.
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Catching potential drug testing fraud%%Watch the on-demand webinar
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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.
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MY 2021 HEDIS season wrap-up%%Watch the on-demand webinar
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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.
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The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
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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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Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
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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.
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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).
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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.
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Request a demo %% Set up a 1:1 consultation with our experts
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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.
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The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
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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.
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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.
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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.
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Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
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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.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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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.
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Avoid payment errors and increase prospective savings
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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.
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Engaging Medicaid members to take action
Learn how Medicaid plans can support whole-person, culturally competent, and equitable care—from enrollment to renewal.
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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.
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