CCC25: 3 key pillars required to perform beyond healthcare challenges
Learn about the three key values that guide Cotiviti's relationship with our clients: transparency, authenticity, and accountability.
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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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Key takeaways from HEDIS MY 2024%%Register for our next Quality Decoded webinar
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Prepay coordination of benefits (COB) boosts payment integrity results for large national payer
Learn how health plans can prevent overpayments, reduce future erroneous payments, and confirm that primary payment responsibility is correctly assigned—all while lowering provider abrasion.
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Payment policy trends and insights%%Watch our latest payment integrity webinar on demand
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Unlocking value from interoperability investments
Watch our on-demand RISE webinar to gain expert insights on how to navigate interoperability challenges, enhance data connectivity, and drive measurable value for your organization.
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Optimizing payment integrity for emergency department E/M claims
Learn three key trends shaping emergency department (ED) E/M claims as we examine their impact on payers and payment integrity programs.
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FWA Insights: Excessive dental restorations
Learn how Cotiviti's SIU identified excessive billing for dental restorations to safeguard payment integrity and appropriate member care.
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Everest Group names Cotiviti the highest-designated Leader in Payment Integrity%%Read the Payment Integrity Solutions PEAK Matrix® Assessment 2025
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Risk adjustment: 4 strategies as CMS increases RADV audits
Learn how to prepare for CMS's new risk adjustment audit methodology for Medicare Advantage plans in 2025 and beyond.
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Medical pharmacy data mining innovation uncovers significant findings for large national plan
Learn how a multi-state managed care organization identifies complex pharmacy errors and more with Cotiviti’s solutions.
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Star Ratings: 4 recommendations for the 2026 CMS Final Rule
Learn about key updates from the CMS Final Rule and how to prepare for Star Ratings success in 2026 and beyond.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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FWA Insights: Solving durable medical equipment (DME) challenges
Learn how Cotiviti's investigators took action when one provider stood out for excessive durable medical equipment (DME) billing of Medicare.
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Payment integrity: Unlocking the value of complex outpatient reviews
Learn about one of the most impactful and often underutilized tools in a high-performing payment integrity program: the complex outpatient review.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Key commercial risk adjustment updates as 2026 approaches
Learn about key changes to the commercial risk adjustment program from the 2026 Payment Notice as we offer key strategies for health plans to prepare and strengthen their efforts.
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Busted: The top fraud schemes of Q1 2025
Read our summary of how bad actors allegedly deployed kickbacks, false claims, and exploitation of vulnerable patients to defraud health plans in Q1 of 2025.
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Decoding the 2026 CMS Final Rule
Watch as we summarize the 2026 Medicare Advantage and Part D Final Rule and its implications for the Star Ratings program.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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3 updates from the 2026 CMS Final Rate Announcement
CMS has finalized a >5% payment increase in the Medicare Advantage and Part D Rate Announcement for calendar year 2026.
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FWA Insights: Skin grafts and substitutes
Learn how prepay FWA review identified over half a million dollars in skin substitute overpayments for one client.
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Unparalleled analytics inform key payment integrity decisions for large payer
Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
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Payment Integrity Pulse: 2025 regulatory and market changes
Learn more about the impact of CPT code changes in E/M, the shift from inpatient to outpatient utilization, and more.
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Avoid payment errors and increase savings with these resources
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Busted: The top healthcare fraud schemes of Q4 2024
Some of the most prominent FWA cases of Q4 2024 included fraudulent billing, illegal kickbacks, and other misconduct that frequently jeopardized patient safety.
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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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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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