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.
Read eBook
In our newly updated eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
Read eBook
Managing a connected claim continuum%%Watch the on-demand webinar
Watch WebinarDiscover how the pandemic affected behavioral health claims and learn different tactics for avoiding fraud, waste, and abuse.
Read White Paper
The portfolio approach to managing complex payment integrity programs%%Watch the on-demand webinar
Watch WebinarLearn how to leverage our analytics and data mining tools to recover high-value overpayments.
View Infographic
Ensuring accuracy of specialty drug claims %% Watch our on-demand webinar
Watch WebinarPayment 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...
Read Article
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.
Watch Video
Learn how Cotiviti's new cross-claim clinical review feature adds incremental value and can speed the DRG review process without sacrificing accuracy.
Read Case Study
Looking to improve your employment verification process to support better coordination of benefits results? Here are three important elements to consider.
Read Article
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.
Read Article
Avoid payment errors and increase prospective savings
Learn howWhile 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.
Read White Paper
Understanding the 2022 CPT code changes %% Watch the on-demand webinar
Watch WebinarLearn how one payer partners with Cotiviti to augment the capabilities of its own dental reviewers and internal claim editing system with prepay, post-adjudication dental claims review.
Read Fact Sheet
Learn why the foundational value of retrospective solutions makes them a vital part of any successful enterprise payment integrity program.
Read Article
Cotiviti Chief Medical Officer Richard Pozen, M.D., explains how payers can tackle challenging Level 4 and 5 E&M claims while still paying claims promptly and minimizing abrasion.
Read White Paper
Payers should consider several best practices when deploying a claim editing solution that pays claims with the highest accuracy and the lowest provider abrasion.
Read Article
Read our Savings Spotlight and learn how one health plan with just under 100,000 members achieved a 3.9% annual prepay savings rate with Cotiviti in 2020.
Read Case Study
Cotiviti surveyed health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs.
Read Research Report
Read our Savings Spotlight and learn how one mid-sized health plan saved nearly $20 million in 2020 with Cotiviti's pre and postpay solutions.
Read Fact Sheet
Cotiviti CEO Emad Rizk, M.D., joins The Incrementalist podcast for a conversation on how to turn healthcare waste into better patient care.
Listen to Podcast
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.
View Infographic
Read 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.
Read Case Study
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...
Read Article
Loading More...