Product Information

Fraud, Waste, and Abuse Solutions

Designed with clinicians, claims and regulatory experts, administrators, and data analysts, Cotiviti’s Fraud, Waste, and Abuse (FWA) Solutions adapt to emerging fraud schemes and compliance requirements. Our integrated solution set applies data analysis, decisions, and insights from one module into the rules and algorithms of other modules, creating an even stronger, anti-fraud solution.

Benefits

  • Prevent FWA to avoid the costs of pay-and-chase
  • Reduce medical costs by recovering more FWA dollars
  • Reduce false-positive leads
  • Increase case management efficiency by ~35 percent
  • Achieve regulatory compliance
  • Achieve return on investment (ROI) of up to 15:1

Download our fact sheet to learn more.
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Download the fact sheet