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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

Webinar: Deter FWA in 2023 with the latest investigative strategies

Erin Rutzler

Nov 29, 2022

Latest Content

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2022

Erin Rutzler

Oct 27, 2022

PAYMENT INTEGRITY

3 key tips for managing your payment integrity portfolio

Jordan Bazinsky

Oct 24, 2022

QUALITY AND STARS

Bouncing back from the 2023 Star Ratings

Ashley McNairy

Oct 19, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Managing FWA for dental claims

Cindy Egan

Oct 17, 2022

RISK ADJUSTMENT

OIG risk adjustment compliance audit showcases 3 clear takeaways

RaeAnn Grossman

Oct 11, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting overpayments in mental health services

Melanie Poole

Sep 28, 2022

HEALTH EQUITY

AHIP Webinar: Driving collaboration to support health equity

Leah Dewey

Sep 22, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching inappropriate billing within ASD services

Erin Rutzler

Sep 14, 2022

FRAUD, WASTE, AND ABUSE

SIU panel discussion: Best practices in healthcare payer FWA

Erin Rutzler

Sep 12, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging for excessive modifiers

Melanie Poole

Sep 1, 2022

PAYMENT INTEGRITY

Webinar series: Accuracy along the payment continuum

Jordan Bazinsky

Aug 23, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting red flags in adult day care claims

Erin Rutzler

Aug 18, 2022

QUALITY AND STARS

Podcast: Cotiviti SVP Rachael Jones on health equity strategy

Jeff Robinson

Aug 11, 2022

NETWORK AND CLINICAL ANALYTICS

On-demand webinar: Pursuing better value-based care with Florida Blue Medicare

Mary Srinivas

Aug 9, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging potential physical therapy schemes

Melanie Poole

Aug 4, 2022

PAYMENT INTEGRITY

Video: How to shorten time to payment integrity results

Matthew Hawley

Aug 3, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: How to catch a DME scheme

Erin Rutzler

Jul 26, 2022

QUALITY AND STARS

HEDIS® strategies: 4 ways to prepare for the ECDS transition

Ashley McNairy

Jul 18, 2022

QUALITY AND STARS

Webinar: Reviewing HEDIS MY 2021 and looking ahead to MY 2022

Jamison Gillitzer

Jun 30, 2022

FRAUD, WASTE, AND ABUSE

Webinar: Catching potential drug testing fraud

Carlyn Hoffman

Jun 21, 2022

PAYMENT INTEGRITY

3 key elements of a successful employment verification process

Naomi Murphy

Jun 15, 2022

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

White paper: Detecting and preventing FWA in behavioral health claims

Erin Rutzler

Jun 1, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2022

Erin Rutzler

May 24, 2022

NETWORK AND CLINICAL ANALYTICS

Podcast: The importance of interoperability in value-based care

Jeff Robinson

May 13, 2022

RISK ADJUSTMENT

OIG report highlights beneficiary protections as Medicare Advantage program grows

RaeAnn Grossman and Jennifer Ach

May 6, 2022

PAYMENT INTEGRITY

Section 340B overview: Medicare, Medicaid, covered entities, and more

Kristie Ressler, D.O.

May 3, 2022

NETWORK AND CLINICAL ANALYTICS

Podcast: Improving risk assessment for better care outcomes

Jeff Robinson

Apr 12, 2022

RISK ADJUSTMENT

5 takeaways from the 2023 Medicare Advantage and Part D Final Rate Announcement

RaeAnn Grossman and Jennifer Ach

Apr 7, 2022

PAYMENT INTEGRITY

Specialty drugs: Why go beyond prior authorization?

Jonathan Starr, PharmD

Mar 23, 2022

QUALITY AND STARS

NETWORK AND CLINICAL ANALYTICS

CONSUMER ENGAGEMENT

3 areas of investment for payers to improve health equity in 2022

RaeAnn Grossman and Jennifer Ach

Mar 17, 2022

NETWORK AND CLINICAL ANALYTICS

Webinar: The path to adopting a successful Alternative Payment Model

Mary Srinivas

Mar 15, 2022

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2023

Samantha Davis

Feb 24, 2022

QUALITY AND STARS

CMS 2023 Advance Notice: Health equity takes center stage

RaeAnn Grossman and Jennifer Ach

Feb 10, 2022

CONSUMER ENGAGEMENT

On-demand webinar: Meet your members where they are and move them to act

Roberto Arce

Jan 26, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q4 2021

Erin Rutzler

Jan 20, 2022

PAYMENT INTEGRITY

On-demand webinar: Understand the 2022 CPT code changes

Amy Hodges

Dec 7, 2021

FRAUD, WASTE, AND ABUSE

What’s old is new again: 3 healthcare fraud trends to watch for in 2022

Erin Rutzler

Dec 2, 2021

CONSUMER ENGAGEMENT

Preparing for Medicaid renewals in 2022

Roberto Arce

Nov 16, 2021

FRAUD, WASTE, AND ABUSE

Preparing your payment integrity programs for 2022 and beyond

Erin Rutzler

Nov 8, 2021

CONSUMER ENGAGEMENT

Podcast: Welcoming, onboarding, and retaining members in the new year

Jeff Robinson

Nov 1, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q3 2021

Erin Rutzler

Oct 26, 2021

QUALITY AND STARS

Learning from 2022 Star Ratings and planning for 2023–2024

Ashley McNairy

Oct 19, 2021

COTIVITI LEADERSHIP

Podcast: Embracing change in healthcare and beyond

Jeff Robinson

Oct 14, 2021

CONSUMER ENGAGEMENT

Staving off the “twindemic” by boosting flu immunization rates

Jennifer Forster

Oct 6, 2021

PAYMENT INTEGRITY

E&M over-coding: How can payers solve this costly challenge?

Richard Pozen, M.D.

Sep 29, 2021

CONSUMER ENGAGEMENT

Boosting childhood vaccination rates amid a resurging pandemic

Jennifer Forster

Aug 19, 2021

ENTERPRISE DATA ANALYTICS

Video: Ensuring that healthcare data is shared ethically

Jeff Robinson

Jul 26, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2021

Erin Rutzler

Jul 20, 2021

CONSUMER ENGAGEMENT

5 tips for improving and sustaining member satisfaction

Anne L. Davis

Jul 15, 2021

QUALITY AND STARS

On-demand webinar: Staying active during a shorter HEDIS off-season

Branka Sustic

Jul 13, 2021

NETWORK AND CLINICAL ANALYTICS

3 strategies to boost payer-provider collaboration amid COVID-19

Jeff Robinson

Jun 17, 2021

NETWORK AND CLINICAL ANALYTICS

Redefining value: practical tactics to spur value-based care adoption

Leah Dewey

Jun 10, 2021

QUALITY AND STARS

Video: Improving efficiency across quality improvement teams

David Wolf

May 13, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q1 2021

Erin Rutzler

Apr 15, 2021

NETWORK AND CLINICAL ANALYTICS

Q&A: Improving value-based care through data and collaboration

Mary Srinivas

Apr 6, 2021

ENTERPRISE DATA ANALYTICS

Podcast: The role of AI during COVID-19 and in a post-pandemic world

Jeff Robinson

Mar 31, 2021

PAYMENT INTEGRITY

Keeping members in mind: Optimizing coordination of benefits

Naomi Murphy

Mar 23, 2021

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2022

Jamison Gillitzer

Mar 2, 2021

QUALITY AND STARS

CMS Star Ratings: Navigating changes in 2021 and the coming years

Ashley McNairy

Feb 16, 2021

PAYMENT INTEGRITY

Busted: The top healthcare fraud schemes of Q4 2020

Erin Rutzler

Jan 25, 2021

COTIVITI LEADERSHIP

3 predictions for healthcare in 2021 from Cotiviti CEO Emad Rizk, M.D.

Jeff Robinson

Dec 21, 2020

Webinar: Breaking down the 2021 CPT® code changes

Cherie Mazeffa, D.O.

Dec 9, 2020

MEDICARE ADVANTAGE

CMS 2022 Advance Notice: 4 key takeaways for MA plans

David Costello

Dec 3, 2020

QUALITY AND STARS

Precision medicine’s value to complex disease management

Shyamali Mukerjee

Nov 3, 2020

QUALITY AND STARS

Cotiviti clients outperform the field in 2021 Star Ratings

Ashley McNairy

Oct 14, 2020

NETWORK AND CLINICAL ANALYTICS

Case study: Accelerating value-driven care through provider specialty tiering

Mac Davis

Oct 2, 2020

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