3 takeaways from CCC23 to improve payment integrity
Cotiviti breaks down three takeaways from our 2023 client conference aimed at improving payment integrity without negatively impacting either the provider or member experience.
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Payment Integrity
Optimize your prospective and retrospective payment integrity results with these resources from Cotiviti, including our latest white papers, on-demand webinars featuring senior payment experts, and case studies featuring Cotiviti clients.
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The "smart prepay" approach to payment integrity
Learn how a managed service model addresses the five critical dimensions of payment integrity versus a software-only approach.
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How “smart prepay” review optimizes your claim payment stream
See what a smart prepay integrity system looks like—beginning with multifaceted prepay review and ending with a vital postpay safety net and prepay feedback loop.
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Beyond prior authorization: Ensuring accuracy of specialty drug claims
Join our Cotiviti experts as we walk through solving the complex challenges of specialty drug claims and payment integrity in our on-demand webinar.
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Large, multi-state plan realizes significant savings in a complex environment
Read our Savings Spotlight and learn how a multi-state plan increased its prepay savings with Payment Policy Management.
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Large regional plan integrates Coding Validation into existing prepay solution to drive incremental savings
Read our Savings Spotlight and learn how a large plan deployed Payment Policy Management and Coding Validation for significant incremental savings and reduced abrasion.
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Leading New York plan’s operational improvements, mature policy library refinement contributes to substantial savings
Read our Savings Spotlight and learn how a large New York plan achieved better operational efficiency and savings with Payment Accuracy solutions.
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Avoid payment errors and increase prospective savings
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Panel discussion: The portfolio approach to managing payment integrity
Watch as Cotiviti experts discuss discuss how to address the technical, clinical, and organizational challenges of an integrated payment integrity program to reap the best possible rewards.
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National health plan grows cost containment value with end-to-end Payment Accuracy solutions
Read our Savings Spotlight and learn how a large national health plan deployed end-to-end Payment Accuracy solutions for better prevention of inappropriate claims and savings.
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The elements of a highly successful COB strategy
Cotiviti SVP of Coordination of Benefits Naomi Murphy breaks down the four critical elements of a prospective COB program.
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Managing a connected claim continuum
Watch our webinar to learn from real-life examples of what plans have done to successfully move to prepay—and how it has improved medical cost savings.
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Prepay coordination of benefits (COB) boosts payment integrity results for large national plan
Learn how a Cotiviti client achieved a >99% conversion rate with prospective and retrospective COB Validation.
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The payment integrity playbook for success in 2023 and beyond
In our newly updated eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
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Rising telehealth: Catching FWA in behavioral health claims
Discover how the pandemic affected behavioral health claims and learn different tactics for avoiding fraud, waste, and abuse.
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How Data Mining helps clean up your claim payment stream
Learn how to leverage our analytics and data mining tools to recover high-value overpayments.
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3 key tips for managing your payment integrity portfolio
Payment integrity is a complex and layered process that requires health plans to look across the silos of their own organization and often use multiple vendors to create an integrated...
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Video: How to shorten time to payment integrity results
Learn how Cotiviti delivers as much as 80% of payment integrity savings before payment occurs—with robust auditing of complex claims that must be processed postpayment.
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Optimize and expedite DRG review with Clinical Chart Validation
Learn how Cotiviti's new cross-claim clinical review feature adds incremental value and can speed the DRG review process without sacrificing accuracy.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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3 key elements of a successful employment verification process
Looking to improve your employment verification process to support better coordination of benefits results? Here are three important elements to consider.
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Section 340B overview: Medicare, Medicaid, covered entities, and more
The 340B Drug Pricing Program enables certain providers to get discounts on specific drugs, but it can be confusing. Here’s an FAQ on 340B.
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