Payment Policy Insights

Cotiviti’s new series for Payment Policy Management (PPM) clients dives deep into claim trends to help you optimize the value of your payment integrity program.

Claim modifiers: Key trends and the value of prepay review

Discover insights and trends to capture more value from improperly coded modifiers.

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Policy on a Page%%Read our resources to unlock value from Payment Policy Management
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Four surgical payment integrity trends to watch in 2024

Read as we delve into four key trends surrounding surgical spend and utilization, highlighting the implications for payers and payment integrity programs.

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Four medical drug payment integrity trends to track in 2024

Learn about spending trends in specialty drugs that impact your payment integrity program.

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Five E/M payment integrity trends to watch

Stay aware of the latest challenges in E/M claims for Cotiviti clients.

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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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Discover the impact of prospective DRG validation

Learn how Clinical Chart Validation enabled one plan to streamline and optimize DRG review while improving quality and the provider experience.

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Data Mining for pharmacy payment errors yields high savings

See how Cotiviti’s Data Mining pharmacy solution uncovered millions in inaccurate payments for two health plans using predictive analytics and specialist validation.

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The "smart prepay" approach to payment integrity

Learn how a managed service model addresses the five critical dimensions of payment integrity versus a software-only approach.

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Coding Validation solution

Further reduce claim spend after claim editing programs

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