Serving more than 1.4 million members, one New York health plan realized major savings following Cotiviti’s identification of a possible massive diagnostic fraud testing scheme—an investigation that led to four New York City-area doctors being arrested and charged for their roles in the alleged fraud.
Download our case study and learn how the plan took an end-to-end, pre- and post-pay approach to fraud, waste, and abuse (FWA) management, ultimately realizing more than $10.5 million in savings from this one investigation alone.