CMS recently released its vision for the CMS Innovation Center in a white paper, Innovation Center Strategy Refresh, which will inform how value-based care payment models are designed and evaluated.
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With the COVID-19 public health emergency designation likely to expire in January 2022, learn how Medicaid plans can reduce churn.
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Learn a "next best action" approach to analytics at the member level with the potential to deliver tangible impact for both risk adjustment and quality improvement programs.
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Proven strategies to jumpstart HEDIS and Star Ratings success in 2022 %% Watch the on-demand webinar
Watch WebinarLearn why the foundational value of retrospective solutions makes them a vital part of any successful enterprise payment integrity program.
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Cotiviti Chief Medical Officer Richard Pozen, M.D., explains how payers can tackle challenging Level 4 and 5 E&M claims while still paying claims promptly and minimizing abrasion.
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In this podcast, Cotiviti experts discuss member welcome, onboarding, and retention best practices for Medicare Advantage and Medicaid plans.
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The right payment integrity intervention at the right time %% Watch the on-demand webinar featuring our payment integrity leaders
Watch WebinarLearn how to interpret your 2022 Star Ratings and get a head start on changes for next year.
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Avoid payment errors and increase prospective savings
Learn howThe most nefarious alleged healthcare fraud schemes of Q3 2021 included drug testing schemes, kickbacks, money laundering, and more.
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Writing for Journal of AHIMA, Cotiviti EVP RaeAnn Grossman explains how payers can improve care for vulnerable populations.
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As policymakers and other healthcare stakeholders focus on COVID-19 vaccinations, it can be easy to forget the importance of other life-saving immunizations.
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Calculate your risk adjustment opportunity with Cotiviti
See the calculatorCotiviti SVP of Performance Analytics and Quality joins the HIT Like a Girl podcast to discuss her career, health equity, and healthcare sustainability.
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Enabling government agencies to maintain payment integrity, optimize risk adjustment, and improve quality outcomes
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Learn how one national payer with >6M dental members has yielded significant savings by working with Cotiviti to assist with dental claim reviews.
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Payers should consider several best practices when deploying a claim editing solution that pays claims with the highest accuracy and the lowest provider abrasion.
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Here are four proven best practices to remember as you build or improve upon your disenrollment prevention strategy.
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Read our Savings Spotlight and learn how one health plan with just under 100,000 members achieved a 3.9% annual prepay savings rate with Cotiviti in 2020.
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Routine pediatric immunizations are down worldwide. The World Health Organization and UNICEF reported that about 23 million children missed out on basic childhood vaccines last year—one...
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Cotiviti surveyed health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs.
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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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From fraudulent COVID-19 tests to fake requests for durable medical equipment (DME), this spring was full of attempts to defraud healthcare payers. Here, we’ve gathered some of the most...
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