FWA Insights: Q&A with the SIU
Cotiviti's FWA investigators break down complex questions related to skin grafts and substitutes, a growing area of concern in healthcare.
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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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Decoding the 2026 Star Ratings%%Register for our 10/23 Quality Decoded webinar
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The journey to four stars: How one plan transformed its Star Ratings strategy
Learn how Star Intelligence powers data-driven decision-making for one regional health plan as it seeks to improve Star Ratings outcomes.
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Deploying AI effectively and responsibly in payment integrity%%Register for our 9/25 webinar
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How Engagement Hub improves quality outcomes
Learn how health plans can view members holistically, identify care gaps, and create optimal target lists to drive better care and quality scores.
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Payment policy trends and insights%%Watch our Payment Integrity Pulse webinar on demand
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Risk adjustment in 2026: Key updates and strategic readiness
Watch our on-demand risk adjustment webinar in partnership with RISE as we dive into key regulatory updates and emerging policy trends in 2026.
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Decoding the HEDIS MY 2026 Technical Specifications
Join Cotiviti's quality experts as we break down confirmed changes to HEDIS Technical Specifications for MY 2026.
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Blue Plan expands Cotiviti DRG review program amid early success
Learn how one Blue Plan adopted Cotiviti's DRG review solution and achieved triple its original projected findings with Clinical Chart Validation.
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Perform Beyond Expectations: Delivering a true solution
Learn how Cotiviti delivers holistic solutions that empower organizations to make informed decisions and take decisive action across quality improvement, payment accuracy, and more.
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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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Regional plan exceeds expectations with second-pass COB
Learn how a regional health plan enlisted the help of Cotiviti’s retrospective COB Validation solution and started seeing results fast.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Perform Beyond Doubt: Turning uncertainty into informed action
Learn how Cotiviti empowers health plans to perform beyond doubt with end-to-end support, critical industry benchmarks, and more.
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FWA Insights: Identifying a DME dropshipping scheme
Learn how Cotiviti identified a DME provider that ordered items from a large online retailer, then billed the health plan at heavily marked up rates.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Perform Beyond Hype: Going beyond buzzwords in healthcare
Learn how Cotiviti performs beyond hype with deep clinical expertise, responsible innovation, and lasting partnerships.
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Decoding HEDIS® MY 2024 for success in MY 2025
Learn key takeaways from the HEDIS MY 2024 season along with measure and timeline changes that will impact health plans for MY 2025.
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7 key steps to build a valuable COB program
Learn how to build a comprehensive, member-centric COB program with prompt monitoring, accurate data, and auditing expertise.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Perform Beyond Silos: Uniting people, programs, and partners across healthcare
Learn how Cotiviti’s solutions and delivery model perform beyond silos by bridging program gaps and aligning efforts across departments.
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FWA Insights: Uncovering improper billing in urine drug screens
Learn how Cotiviti's SIU identified a recent scheme in this common area of healthcare fraud, waste, and abuse (FWA).
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Decoding the HEDIS MY 2024 season
Join Cotiviti's Quality and Stars experts as they celebrate MY 2024 successes and review strategies to improve in MY 2025.
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Unlocking business value through interoperability: 3 key strategies
Learn three essential strategies to help payers maximize the value of their interoperability investments as key industry deadlines draw closer.
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Avoid payment errors and increase savings with these resources
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Large Medicaid payer protects taxpayer dollars, financial integrity with prepay review
Learn why one large Medicaid plan realizes value from Cotiviti's prepay solutions and differentiated service model.
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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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Navigating dental claim FWA: The impact of abused codes and claim splitting
Learn the top dental procedures that are frequently misused as we examine their causes, consequences, and the steps necessary to mitigate the effects of fraudulent and abusive billing.
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