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The next generation of prepay

Payment integrity is evolving. By now we know that whenever possible, preventing an inappropriate payment is preferable to recovering an overpayment. The most successful plans take a thoughtful approach to moving payment integrity concepts from post to prepay. In this session you will learn best practices when introducing a prepay coordination of benefits (COB) or prepay Clinical Chart Validation (CCV) intervention point in your payment integrity program. We’ll host a roundtable discussion where you can share success stories and ideas for overcoming roadblocks when operating in a multiple prepay solution setting with your peers.  

In this session, you will learn:

  1. Best practices for prospective CCV and COB programs
  2. How the expansion of prepay COB and CCV complements other prepay programs 
  3. How Cotiviti clients are overcoming roadblocks to add prepay reviews of COB and DRG errors  

Presenters: 

Brenda DiMartino
Vice President, Client Engagement
Cotiviti, Inc. 

Taylor Bynum
Director of Product
Cotiviti, Inc.