Unparalleled analytics inform key payment integrity decisions for large payer
Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
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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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Payment Integrity Pulse%%Register for our 2025 quarterly webinar series
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Payment Integrity Pulse: 2025 regulatory and market changes
Learn more about the impact of CPT code changes in E/M, the shift from inpatient to outpatient utilization, and more.
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Regional Blue Plan performs beyond expectations with Data Mining
Learn how Cotiviti helped deliver a significant increase in overpayment recoveries through data mining expertise.
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Prioritizing prepay integrity strengthens mid-sized health plan's competitive position
Learn how one mid-sized health plan uses prepay claim editing to improve its competitive position.
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The fundamentals of payment integrity for TPAs
Learn crucial strategies for TPAs to deliver effective payment integrity programs for their self-funded clients.
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Prepay claims editing improves payment accuracy for self-funded employers
Learn how Cotiviti helped one benefit administrator prevent $28M in inappropriate payments for clients.
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Prepay integrity: What the self-insurance industry needs to know
Learn how TPAs can deliver a high-performing payment integrity program to their plan sponsor clients—and why it matters more than ever.
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Recovering improper costs in SNF and IRF claims
Learn how to untangle the complexity of skilled nursing facility (SNF) and impatient rehab facility (IRF) claims.
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Health plan finds new value with AI-enabled clinical reviews
See how the safe application of AI can drive additional value and improve health plan results—without replacing human expertise.
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eBook: The evolving role of artificial intelligence in payment integrity
Learn how to deploy AI responsibly in your payment integrity program—and separate fact from fluff when evaluating vendors.
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3 strategies for payers to curb increasing medical loss ratios
Discover key strategies that can decrease MLR for payers as medical costs continue to rise.
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eBook: The three pillars of coordination of benefits (COB) success for health plans
Learn the importance of accurate data, advanced analytics, and specialized expertise to execute a high-functioning, end-to-end coordination of benefits (COB) program.
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The payment integrity guide for health plans
Read this guide as we break down the fundamental strategies behind implementing a comprehensive, end-to-end approach to payment integrity for commercial, Medicare Advantage, and Medicaid health plans.
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Specialty Drugs: Ensuring payment accuracy beyond prior authorizations
While many plans lean on prior authorizations to ease the processing of specialty drug claims, our experts explore more comprehensive options for getting claims paid more accurately—and more quickly.
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7 steps to build a valuable coordination of benefits program
Read our new checklist to learn how to execute data enrichment, focus on the claims most likely to yield a finding, and more.
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Podcast: Deploying AI in payment integrity responsibly
Listen to the Payment Integrity Insights podcast as we discuss Cotiviti’s four core principles for artificial intelligence.
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Program Integrity Pulse: Benchmarking provider billing accuracy and payment trends
Watch as we analyze Cotiviti’s broad claims dataset to highlight important provider billing trends, benchmark provider-level billing accuracy, and identify payment policy opportunities.
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Podcast: Artificial intelligence in payment integrity
Learn how Cotiviti is deploying artificial intelligence responsibly to improve results for health plans.
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Podcast: How to build a valuable coordination of benefits program
Listen to Cotiviti’s Payment Integrity Insights podcast as we share how to streamline your COB program and improve payment integrity results.
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Navigating new frontiers in healthcare: 3 takeaways from CCC24
The 2024 Cotiviti Client Conference highlighted the need for transparency in payment integrity and continued focus on the health plan member experience.
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