Effective payment integrity relies on both policy and operations. Pairing best-practice clinical and payment policies with operational proficiency and process improvement is an efficient way to achieve optimal savings. A leading plan in New York partnered with Cotiviti to achieve both.

Read our Savings Spotlight and learn how the plan experienced:

• Increased prepay savings by avoiding improper claims payment
• Improved accuracy of appropriate provider payments
• Closed gaps in primary claim editing