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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Avoid payment errors and increase prospective savings
Learn howCotiviti'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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Unlock value, increase efficiency, and improve performance across the payment cycle with one partner
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Identify millions of dollars in prospective payment savings
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Reduce annual claim spend by up to 1 percent
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