FWA Insights: Navigating 2023 CPT code changes
Explore the latest CPT code updates and areas for payers to scrutinize in the new year.
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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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Preparing for investigative FWA strategies in 2023%%Watch on demand
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Closing the Gap: Improving cervical cancer prevention
January is cervical cancer awareness month. How will you boost preventative care?
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How to optimize Medicare Advantage Star Ratings: Introducing Star Intelligence%%Watch now
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The payment integrity playbook for success in 2023 and beyond
In our newly updated eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
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Improving value-based care with Florida Blue Medicare%%Watch the on-demand webinar
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Close gaps in care with integrated quality improvement and member engagement
With so much at stake, health plans need synergy between their quality improvement and member engagement solutions.
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SIU panel discussion%% Watch the on-demand webinar and optimize your SIU
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FWA Insights: Catching improper billing within genetic testing and molecular pathology
Learn different FWA patterns specific to genetic testing services from Cotiviti’s SIU.
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Catching potential drug testing fraud%%Watch the on-demand webinar
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Managing a connected claim continuum%%Watch the on-demand webinar
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Maintaining a strong and successful SIU in 2023
As the “Great Resignation” continues to impact health plan staffing, here are 5 tips to help your health plan retain SIU employees and foster team bonding.
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MY 2021 HEDIS season wrap-up%%Watch the on-demand webinar
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How Data Mining helps clean up your claim payment stream
Learn how to leverage our analytics and data mining tools to recover high-value overpayments.
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The path to adopting a successful Alternative Payment Model (APM) %% Watch our on-demand webinar
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Preparing for the unwinding of the Public Health Emergency (PHE)
Learn how to prevent disenrollment when the COVID-19 public health emergency (PHE) expires.
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Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
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How to build risk adjustment into your value-based care strategy
Learn practical approaches to execute risk adjustment strategies and drive program success in our on-demand RISE webinar.
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How payers can drive collaboration to support health equity
For health plans dedicated to advancing equitable healthcare outcomes, here are three data-driven, collaborative strategies to consider.
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2023 Star Ratings Reflections
Take a deep dive with Cotiviti into 2023 Star Ratings as we explore how we got here, share observations, and discuss strategies and interventions.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Busted: The top fraud schemes of Q3 2022
Read our summary of the most prominent cases of alleged healthcare fraud from July through September 2022.
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3 key tips for managing your payment integrity portfolio
Payment integrity is a complex and layered process that requires health plans to look across the silos of their own organization and often use multiple vendors to create an integrated...
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Bouncing back from the 2023 Star Ratings
With many Medicare Advantage plans seeing a decline in the 2023 Star Ratings, here are three strategies from Cotiviti to help plans regain their footing.
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FWA Insights: Managing FWA for dental claims
Learn the latest in dental FWA and explore best practices for prevention.
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Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
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OIG risk adjustment compliance audit showcases 3 clear takeaways
Amid OIG scrutiny of Medicare Advantage risk adjustment coding practices, Cotiviti offers three takeaways for plans looking to strengthen their programs.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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FWA Insights: Spotting overpayments in mental health services
Learn how Cotiviti’s SIU uncovered an overpayment of over $2 million related to mental health services.
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Avoid payment errors and increase prospective savings
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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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Driving collaboration to support health equity
Watch our AHIP webinar and learn the right steps to make the goal of health equity a reality.
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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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