FWA Insights: Reducing audit abrasion
Learn how a more collaborative, transparent approach to provider audits can help health plans maintain compliance while fostering productive provider relationships.
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Our latest healthcare payer resources
These resources from Cotiviti help power better payment integrity, risk adjustment, quality reporting, and consumer engagement programs for healthcare payers.
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Breaking down the CMS Final Rule%%Register for our next Quality Decoded webinar on 4/23
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Decoding the HEDIS MY 2026 public comment period
Watch our brief webinar to learn what you need to know about NCQA's proposed updates for HEDIS Measurement Year (MY) 2026.
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Large Blue Plan performs beyond expectations with Data Mining
Learn how Cotiviti helped a significant increase in overpayment recovering through data mining expertise.
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NCQA releases proposed HEDIS MY 2026 updates
Learn NCQA's proposed new measures, measure retirements, and other changes for HEDIS Measurement Year (MY) 2026.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Prioritizing prepay integrity strengthens mid-sized health plan's competitive position
Learn how one mid-sized health plan uses prepay claim editing to improve its competitive position.
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Decoding the 2026 CMS Advance Notice
Review the 2026 CMS Medicare Advantage and Part D Advance Notice as we break down proposed measure and policy changes from a quality perspective.
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FWA Insights: Changes to audio-only telehealth codes sheds light on FWA
Learn how health plans can stay vigilant for FWA amid CMS’s changing telehealth guidelines.
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Prepare for success in Medicare Advantage risk adjustment
Learn how to bolster risk adjustment efforts with our best practices.
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How interoperability drives business value
Learn key recommendations for healthcare payers to incorporate into their interoperability strategies for 2025 and beyond.
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The shift to digital quality measurement: What payers need to know and how to prepare
Learn about the opportunities and challenges payers face over the next five years as they implement a digital quality transition strategy.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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How to evolve your FWA program in 2025
Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.
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The 2026 CMS Advance Notice: 3 key takeaways
Learn the key proposed updates for Medicare Advantage plans from a risk adjustment and quality perspective.
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Join the evolution: Advancing beyond traditional lead detection
Learn how your SIU can identify potential FWA sooner and eliminate wasted time spent on false-positive leads.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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6 key capabilities to advance beyond traditional FWA lead detection
Learn six key capabilities health plans can incorporate into their FWA programs to maximize prevention, recovery efforts, and operational efficiency.
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Prepay claims editing improves payment accuracy for self-funded employers
Learn how Cotiviti helped one benefit administrator prevent $28M in inappropriate payments for clients.
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Counteracting FWA in dental payments
Learn about common inappropriate dental billing practices and how dental payers can target them through automated solutions and clinical review.
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Introducing Cotiviti's 360 Pattern Review
Learn how Cotiviti's 360 Pattern Review offers comprehensive FWA prevention and management across the entire claim payment cycle, seamlessly integrating with your existing programs and personnel.
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Avoid payment errors and increase savings with these resources
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Podcast: Driving lasting impact through interoperability
As TEFCA continues to evolve, Cotiviti joins the RISE Radio podcast to discuss key interoperability updates and strategies for 2025.
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Enabling a high-quality and viable healthcare system
With a steadfast commitment to providing total value, Cotiviti stands out as a strategic partner for health plans aiming to optimize their operations.
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The fundamentals of payment integrity for TPAs
Learn crucial strategies for TPAs to deliver effective payment integrity programs for their self-funded clients.
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