White Papers / Perspectives

Transitioning from post-payment recovery to prospective validation

Prospective validation enables health plans to catch problematic claims before they are paid, reducing provider abrasion and administrative costs. But moving payment concepts from retrospective review to prospective is challenging from many angles.

In our white paper, Cotiviti payment leaders offer a practical three-step approach to move payment integrity concepts from retrospective to prospective, including:

  • How to educate providers to improve their billing practices to avoid having their claims reviewed
  • How to integrate advanced analytics and technologies with human capital and expertise
  • How to measure value internally and attribute that value to the appropriate department 

Health plans that prioritize prospective validation see stronger organizational alignment, improved savings, and greater provider and member experience.

Download our white paper to learn more.
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Download the white paper