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.
Cotiviti's Clinical Appropriateness Policy Collection bundles all Payment Policy Management (PPM) decision points that have been developed based on best-practice, evidence-based guidelines from dozens of medical and specialty societies. Clients can prevent payment of improper claims based on clinical appropriateness guidelines by assessing unused policy and deploying missing decision points. According to our analysis, individual clients may be paying up to millions in improper claims related to specialty society recommendations or other clinical appropriateness guidance.
Read our fact sheet to learn more.