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Program Integrity Pulse: Benchmarking provider billing accuracy and payment trends

Analyzing provider billing trends can help improve prospective payment integrity programs and provider network management. But for health plans, analyzing simply their own internal data may not yield sufficient insight to reveal claim payment trends and their full impact on payment policy. That’s where benchmarking and analytics across a broader dataset can be beneficial. 

Watch our on-demand webinar as we analyze Cotiviti’s broad claims dataset to highlight important provider billing trends, benchmark provider-level billing accuracy, and identify payment policy opportunities for health plans to help inform payment strategy and provider network management.
You'll learn more about: 

  • Notable trends in provider billing practices and network spend, including specific areas such as E/M, drugs and biologics, and surgical procedures
  • Trends in provider billing accuracy and key drivers of billing errors
  • Methods to apply prepayment policy more consistently across providers