Cotiviti surveyed health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs.
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Break out of hyper-focusing on the claim payment lifecycle and analyze claims within the context of the human experience to optimize your coordination of benefits processes.
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Avoid payment errors and increase prospective savings
Learn howRead our Savings Spotlight and learn how one regional Blue Plan serving more than 4 million members achieved nearly $100 million in savings with Cotiviti's prospective payment integrity solutions.
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Coordination of benefits (COB) requires health plans to navigate significant complexities. The order of benefit determination rules rely on an ever-changing member landscape that is as...
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Payers continue to invest in innovative techniques to prevent improper payments, rather than “pay and chase." Learn how health plans can successfully navigate the challenges of prospective validation.
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Cotiviti's senior leaders explain how to guard against healthcare fraud in 2021 amid recent CPT code updates coupled with permanent regulatory changes to telehealth.
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Listen to our podcast and learn how to ensure that claims are clinically appropriate through a combination of coordinated technology and human review.
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Learn the steps you can take to maximize savings by thoughtfully deploying Cotiviti’s Payment Accuracy solutions.
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The COVID-19 pandemic has led to unprecedented challenges for Medicaid plans. Here are five areas that Medicaid plans should evaluate to protect their business in this environment.
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Cotiviti payment leaders explain how to optimize your coordination of benefits (COB) process to account for variable member life events to help ensure proper COB determinations.
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Payment accuracy programs are critical to delivering value to health plan members. Some plans excel at recovery management while others struggle—and the difference in financial results is significant.
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Cotiviti's panel of payment leaders explain how to optimize prospective and retrospective payment operations to improve savings.
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Managing payment recovery is very hard to accomplish without increasing provider abrasion. And this proves especially difficult when using collection agencies that aren't experts in healthcare claims.
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Learn how health plans can avoid "pay and chase" with pre-pay Coding Validation and Clinical Chart Validation, delivering more savings.
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Cotiviti's Signature Series features interviews with senior health plan leaders on how to improve clinical and financial outcomes in healthcare.
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Learn the key questions to ask your potential payment integrity partner to maximize the effectiveness of your retrospective payment accuracy programs.
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Payment leaders from Highmark BlueCross BlueShield and Cotiviti discuss the impact of COVID-19 on payment integrity.
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Listen to our podcast as we discuss how health plans can be more selective and focus on pursuing medical records that will actually return value back to the plan.
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Cotiviti's panel of senior leaders discuss best practices in clinical chart validation and retrospective claim accuracy.
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Learn how Cotiviti is helping health plans move forward with confidence by providing unparalleled pre- and post-payment accuracy solutions.
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