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A national health plan supporting commercial, Medicaid, and Medicare Advantage lines of business turned to Cotiviti more than two decades ago after discovering large losses due to errors, waste, and abuse. A Cotiviti Payment Policy Management client since 2002, the plan has since implemented end-to-end prepay and postpay solutions including Coding Validation, COB Validation, Clinical Chart Validation, Data Mining, and Contract Compliance.
Read our Savings Spotlight and learn how the plan experienced:
- Improved payment integrity savings with an emphasis on prevention
- Increased flexibility to scale to membership growth
- Minimized COVID-19 impact on claim operations