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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On-Demand Webinars
Cotiviti's webinars offer a deep dive into improving healthcare payment, quality, and risk outcomes from our leading experts.
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Engaging with members at the end of the year
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
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Breaking down the HEDIS MY 2025 Technical Specs
Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in the annual Technical Specifications publication.
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Improving risk adjustment: Integrating internal and external innovations
Watch 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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Wrapping up the end of HEDIS MY 2023 season
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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Program Integrity Pulse: Benchmarking provider billing accuracy and payment trends
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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The "Total Value" approach to payment integrity
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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Examining the 2025 CMS Final Rule
Cotiviti's Star Ratings experts review the 2025 CMS Final Rate Announcement from a quality improvement perspective.
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Breaking down NCQA public comment for HEDIS MY 2025
Watch our brief on-demand webinar as we review proposed HEDIS updates for MY 2025.
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Key risk adjustment trends to watch in 2024 and beyond
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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Reviewing the 2025 CMS Advance Notice
Get an in-depth analysis of proposed changes to the CMS Star Ratings program from our on-demand webinar.
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Program Integrity Pulse: Preparing for investigative FWA strategies in 2024
Learn about 2024 CPT code updates that may increase the potential for FWA as well as other anticipated trends.
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Progress Report: Medicaid Redetermination
Learn new strategies for engaging health plan members with multi-channel communications to limit disenrollment during the Medicaid redetermination process.
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Reflecting on the 2024 Star Ratings
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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Program Integrity Pulse: Finding new schemes with AI and investigative techniques
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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Making payment integrity work for your self-insured groups
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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Pencils up: Making the most of HEDIS downtime
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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Program Integrity Pulse: A Claim Pattern Review case study
Learn how to integrate prepay and postpay program interventions to improve fraud, waste, and abuse (FWA) management and prevention.
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Rising Stars: Optimizing MA Star Ratings with Star Intelligence
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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Beyond prior authorization: Ensuring accuracy of specialty drug claims
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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