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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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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Prepay claims editing delivers millions in value for self-funded employers
Learn how Cotiviti helped one benefit administrator deliver $28M in medical cost savings to 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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Finding new opportunities to improve payment integrity with inpatient claim review
Learn how to reduce the burden of research and recovery for inpatient claims with a tailored pre and postpay approach.
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Health plan protects financial integrity with prepay review solutions
Learn how the largest Medicaid payer in one state protects its financial integrity with Payment Policy Management and Coding Validation.
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The "Total Value" approach to payment integrity
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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Total Value eBook: How to build a better payment integrity program
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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