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Navigating new frontiers in FWA and payment integrity

Author Erin Rutzler

As healthcare fraud, waste, and abuse (FWA) schemes continue to evolve and cost the system as much as hundreds of billions of dollars per year, cutting-edge technologies and holistic approaches are an increasingly critical requirement. To effectively navigate these new frontiers in healthcare requires a partner that is committed to greater value, innovation, and partnership.

Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) as we explain how Cotiviti helps our customers:

  • Prevent inappropriate spending: Discover how integrating automated prepay solutions can dramatically improve payment accuracy and accelerate FWA prevention, like one Medicare Advantage plan did to achieve more than $1 million in savings in less than a year.
  • Leverage machine learning: Learn about the transformative power of machine learning and natural language processing (NLP) in the FWA space, enabling the selection of high-value claims with high precision.
  • Achieve comprehensive expertise: Understand the importance of combining high-tech tools with deep clinical and industry expertise.

Don't miss this opportunity to explore how innovative strategies and technologies can transform your approach to FWA and payment integrity.

About the Author

As vice president of fraud, waste, and abuse (FWA), Erin is responsible for the oversight and strategic direction of Cotiviti’s FWA solution suite. In her role, Erin has been integral in the development of Cotiviti’s FWA solutions over the past eight years. Serving as the company’s primary subject matter expert in investigations and FWA for compliance, client training, sales, and marketing activities, she regularly represents the company at industry conferences such as the National Health Care Anti-Fraud Association’s (NHCAA) Annual Training Conference (ATC).

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