Program Integrity Pulse: Lessons learned from a successful prepay FWA program
Learn Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
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Learn Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
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Watch our webinar as we discuss how proactive, multi-channel approaches to member engagement can significantly improve gap closure, member satisfaction, and plan growth.
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Breaking down the 2025 Star Ratings%%Register for our next Quality Decoded webinar
Register NowWatch our on-demand webinar as we discuss changes to HEDIS published by NCQA in the annual Technical Specifications publication.
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Visit nowWatch our on-demand webinar as we highlight key considerations for combining in-house risk adjustment capabilities with vendor partnerships to strengthen results and compliance.
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With the HEDIS Measurement Year (MY) 2023 season recently concluded, it’s crucial to reflect on the outcomes and strategically prepare for MY 2024.
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Watch as we analyze Cotiviti’s broad claims dataset to highlight important provider billing trends, benchmark provider-level billing accuracy, and identify payment policy opportunities.
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Watch our on-demand webinar and learn how to realize long-term value from your payment integrity program with a differentiated service model and integrated solution breadth.
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Cotiviti's Star Ratings experts review the 2025 CMS Final Rate Announcement from a quality improvement perspective.
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Watch our brief on-demand webinar as we review proposed HEDIS updates for MY 2025.
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Watch our on-demand webinar as we explore strategies to leverage digital data effectively and enhance your risk adjustment efforts in 2024.
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Get an in-depth analysis of proposed changes to the CMS Star Ratings program from our on-demand webinar.
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Learn about 2024 CPT code updates that may increase the potential for FWA as well as other anticipated trends.
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Learn new strategies for engaging health plan members with multi-channel communications to limit disenrollment during the Medicaid redetermination process.
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Watch our on-demand webinar in partnership with RISE, Star Rating Reflections, as our team at Cotiviti takes a deep dive into the 2024 results and helps you chart a path to excellence.
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Hear from our FWA experts on how artificial intelligence (AI) and machine learning (ML) can be used to detect emerging patterns of inappropriate billing and how to navigate new technology challenges.
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Watch our webinar as we walk through how to navigate the complexities and best practices of applying pre and postpay solutions to self-insured employer groups and members.
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Watch our webinar to learn how your organization can improve quality measurement and Star Ratings with a more holistic, integrated approach.
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Learn how to integrate prepay and postpay program interventions to improve fraud, waste, and abuse (FWA) management and prevention.
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Learn how health plans can better understand and prioritize the actions needed to offer better care to their Medicare Advantage population and to improve bonus payments.
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Join our Cotiviti experts as we walk through solving the complex challenges of specialty drug claims and payment integrity in our on-demand webinar.
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