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A large Northeast regional plan was working to identify and implement appropriate policies for better improper claim prevention and turned to Cotiviti for support. Cotiviti partnered with the plan’s payment integrity leadership in a strategy to achieve key objectives while minimizing provider abrasion. Part of this strategy included implementing an integrated Coding Validation solution into the plan’s existing prepay program to drive more accuracy and incremental savings.
Read our Savings Spotlight and learn how the plan experienced:
- Improved competitive position in the marketplace
- Reduced provider abrasion
- Increased incremental savings