FWA Insights: Flagging high-frequency telehealth claims
Learn how Cotiviti’s SIU investigated suspicious telehealth claim activity.
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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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Rising Stars: Optimizing MA Star Ratings with Star Intelligence%%Attend the June 6 webinar
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Closing the Gap: Men’s Health Month
Men in the United States are least likely to rate their healthcare experience positively. Learn how to improve engagement.
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Catching potential drug testing fraud: A case study of successful investigative techniques
Join Cotiviti and MetroPlus Health Plan as we discuss a collaborative case study that led to an identified overpayment of more than $1 million.
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How to optimize Medicare Advantage Star Ratings: Introducing Star Intelligence%%Watch now
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3 takeaways from CCC23 to improve payment integrity
Cotiviti breaks down three takeaways from our 2023 client conference aimed at improving payment integrity without negatively impacting either the provider or member experience.
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Busted: The top fraud schemes of Q1 2023
The start of 2023 saw an influx of fraud, waste, and abuse (FWA) cases, including falsified claims, kickbacks, and more—often directly harming patients.
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Sequencing investigative activities for greater provider impact
Join Cotiviti’s FWA experts for our latest FWA webinar as they discuss how to approach investigations, interventions, and behavior tracking across prepay and postpay FWA programs.
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Closing the Gap: Improving osteoporosis prevention
Close care gaps this Osteoporosis Awareness and Prevention Month with better member outreach. Osteoporosis is responsible for an estimated two million broken bones per year, yet nearly 80% of o
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The "smart prepay" approach to payment integrity
Learn how a managed service model addresses the five critical dimensions of payment integrity versus a software-only approach.
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Preparing for investigative strategies in 2023
Join us for our on-demand webinar as our experts discuss FWA trends that payers should consider while fine-tuning their investigative strategies for 2023, including recent utilization trends and more.
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How “smart prepay” review optimizes your claim payment stream
See what a smart prepay integrity system looks like—beginning with multifaceted prepay review and ending with a vital postpay safety net and prepay feedback loop.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Closing the Gap: National Minority Health Month
Learn how to improve health equity with better data collection and targeted member engagement. From disease rates to maternal outcomes to overall life expectancy, significant disparities in he
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Beyond prior authorization: Ensuring accuracy of specialty drug claims
Join our Cotiviti experts as we walk through solving the complex challenges of specialty drug claims and payment integrity in our on-demand webinar.
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Large, multi-state plan realizes significant savings in a complex environment
Read our Savings Spotlight and learn how a multi-state plan increased its prepay savings with Payment Policy Management.
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FWA Insights: Prepay review leads to >$100K in projected annual savings
Learn how Cotiviti's SIU identified a suspicious pattern of psychotherapy claims from one provider, preventing inappropriate claims from being paid.
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Progress Report: Pursing better value-based care with Florida Blue Medicare
A senior medical director from Florida Blue Medicare joins Cotiviti to discuss their transition from paying for volume to paying for value.
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Closing the Gap: Improve screening rates during Colorectal Cancer Awareness Month
Stay up to date on quality measures related to colorectal cancer screening and improve member outcomes.
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Large regional plan integrates Coding Validation into existing prepay solution to drive incremental savings
Read our Savings Spotlight and learn how a large plan deployed Payment Policy Management and Coding Validation for significant incremental savings and reduced abrasion.
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Avoid payment errors and increase prospective savings
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Leading New York plan’s operational improvements, mature policy library refinement contributes to substantial savings
Read our Savings Spotlight and learn how a large New York plan achieved better operational efficiency and savings with Payment Accuracy solutions.
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SIU panel discussion: Best practices in healthcare payer FWA
Watch our on-demand webinar as health plan SIU leaders discuss best practices around overcoming common challenges, such as heavy workloads, and will walk through emerging schemes.
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National health plan grows cost containment value with end-to-end Payment Accuracy solutions
Read our Savings Spotlight and learn how a large national health plan deployed end-to-end Payment Accuracy solutions for better prevention of inappropriate claims and savings.
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