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An enterprise payment integrity strategy is essential to effective claims processing, provider relations, and cost savings. Healthcare payers have begun an earnest transition from postpayment to prepayment methodologies. But to maximize payment integrity savings and reduce provider abrasion, payers must find the optimal balance for their business.
Cotiviti’s suite of integrated Payment Accuracy solutions identifies previously unrealized medical and administrative cost savings for clients by providing integrated capabilities that can review 100% of all major claim types—both pre and postpay. Connectivity among these solutions creates a natural feedback loop, applying improvements to the right intervention type at the right time in the claim process.
Read our brochure and learn how Cotiviti empowers health plans with solutions that enable them to:
- Determine payment responsibility
- Ensure claim accuracy
- Detect patterns of fraud, waste, and abuse