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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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Effective payment integrity relies on both policy and operations. Pairing best-practice clinical and payment policies with operational proficiency and process improvement is an efficient way to achieve optimal savings. A leading plan in New York partnered with Cotiviti to achieve both.

Read our Savings Spotlight and learn how the plan experienced:

  • Increased prepay savings by avoiding improper claims payment
  • Improved accuracy of appropriate provider payments
  • Closed gaps in primary claim editing