Cotiviti Clinical Appropriateness Policy Collection
Learn how PPM clients can prevent payment of improper claims based on clinical appropriateness guidelines by assessing unused policy and deploying missing decision points.
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Policy on a Page
Unlock the greatest value from Cotiviti's Payment Policy Management solution by discovering the savings and benefits our latest policies can deliver to your organization. Questions about our policies? Contact your Client Engagement Leader or email us at answers@cotiviti.com.
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COVID-19 Policy Collection
Learn about our new policy collection, which bundles all COVID-related decision points across the PPM content library for easier policy review.
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Inpatient Payment Policy Collection
Learn about our compilation of existing, enhanced, and net new inpatient claim policies developed and deployed in PPM and Coding Validation.
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Drug and Biological Policy Collections
Learn how our new policy collections comprise >3,000 decision points organized into 13 specific areas of D&B logic.
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Telehealth Policy Collection
Learn how to conduct telehealth policy review more easily while preventing improper payments
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Multiple Endoscopy Logic Policy
Learn how to prevent payment of thousands—even millions—of dollars in overpaid multiple endoscopy procedure claims by applying actual reduction amounts during editing versus a flat 50%.
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Genetic Testing Policy Plus
Cotiviti, in partnership with InformedDNA, has applied 10+ years of genetic testing experience working with millions of claims to build proprietary test identification logic.
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E&M Professional Over-coding Policy
E&M clients successfully navigate organizational sign-off, provider abrasion, compliance concerns and state health insurance inquiries when using our policy.
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ER Facility E&M Over-coding
Learn how our policy assesses the resources the hospital used on ER facility Level 4 and 5 E&M claims and renders a decision at the appropriate level.
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