Artificial intelligence in payment integrity
Learn how Cotiviti is deploying artificial intelligence responsibly to improve results for health plans.
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Learn how Cotiviti is deploying artificial intelligence responsibly to improve results for health plans.
Listen to Podcast
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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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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Discover key strategies that can decrease MLR for payers as medical costs continue to rise.
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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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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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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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Learn how the largest Medicaid payer in one state protects its financial integrity with Payment Policy Management and Coding Validation.
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Watch our on-demand webinar and learn how to realize long-term value from your payment integrity program with a differentiated service model and integrated solution breadth.
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Discover how your health plan can create a more valuable payment integrity program and drive down medical loss by reducing improper medical costs.
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Cotiviti's Matthew Hawley, EVP of payment integrity operations, leads a conversation on the dimensions of payment integrity value that go beyond medical cost savings.
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Learn how to reduce the burden of research and recovery for inpatient claims with a tailored pre and postpay approach.
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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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See how Cotiviti’s Data Mining pharmacy solution uncovered millions in inaccurate payments for two health plans using predictive analytics and specialist validation.
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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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Learn how Clinical Chart Validation enabled one plan to streamline and optimize DRG review while improving quality and the provider experience.
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Learn how health plans can improve payment accuracy for their inpatient claim review programs with AI-driven chart selection and combining prepay and postpay approaches.
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How can health plans implement payment integrity programs for self-insured (ASO) employer groups? Dive deep with our Payment Integrity Insights podcast.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
Watch WebinarDiscover best practices for reaching your self-insured employer groups with better payment integrity.
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Learn how a managed service model addresses the five critical dimensions of payment integrity versus a software-only approach.
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