Total Value: How to build a better payment integrity program
Discover how your health plan can create a more valuable payment integrity program and drive down medical loss by reducing improper medical costs.
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Payment Integrity
Optimize your prospective and retrospective payment integrity results with these resources from Cotiviti, including our latest white papers, on-demand webinars featuring senior payment experts, and case studies featuring Cotiviti clients.
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Unlock the "Total Value" of your payment integrity program%%Attend our 4/30 webinar
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Podcast: The "Total Value" approach to payment integrity
Cotiviti's Matthew Hawley, EVP of payment integrity operations, leads a conversation on the dimensions of payment integrity value that go beyond medical cost savings.
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Finding new opportunities to improve payment integrity with inpatient claim review
Learn how to reduce the burden of research and recovery for inpatient claims with a tailored pre and postpay approach.
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Optimize and expedite DRG review with Clinical Chart Validation
Learn how Cotiviti's new cross-claim clinical review feature adds incremental value and can speed the DRG review process without sacrificing accuracy.
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Data Mining for pharmacy payment errors yields high savings
See how Cotiviti’s Data Mining pharmacy solution uncovered millions in inaccurate payments for two health plans using predictive analytics and specialist validation.
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The payment integrity guide for health plans
Read this guide as we break down the fundamental strategies behind implementing a comprehensive, end-to-end approach to payment integrity for commercial, Medicare Advantage, and Medicaid health plans.
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Discover the impact of prospective DRG validation
Learn how Clinical Chart Validation enabled one plan to streamline and optimize DRG review while improving quality and the provider experience.
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Avoid payment errors and increase savings with these resources
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Podcast: Optimizing inpatient claim review
Learn how health plans can improve payment accuracy for their inpatient claim review programs with AI-driven chart selection and combining prepay and postpay approaches.
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Podcast: Payment integrity for self-insured (ASO) employer groups
How can health plans implement payment integrity programs for self-insured (ASO) employer groups? Dive deep with our Payment Integrity Insights podcast.
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4 strategies to curb medical cost increases as healthcare utilization rebounds
When the COVID-19 pandemic accelerated rapidly in early 2020, the impact on healthcare utilization was sharp, dropping nearly 32% in April 2020 as both providers and healthcare consumers...
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Payment integrity: Getting self-insured employer groups on board
Discover best practices for reaching your self-insured employer groups with better payment integrity.
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3 takeaways from CCC23 to improve payment integrity
Cotiviti breaks down three takeaways from our 2023 client conference aimed at improving payment integrity without negatively impacting either the provider or member experience.
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The "smart prepay" approach to payment integrity
Learn how a managed service model addresses the five critical dimensions of payment integrity versus a software-only approach.
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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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Large, multi-state plan realizes significant savings in a complex environment
Read our Savings Spotlight and learn how a multi-state plan increased its prepay savings with Payment Policy Management.
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How “smart prepay” review optimizes your claim payment stream
See what a smart prepay integrity system looks like—beginning with multifaceted prepay review and ending with a vital postpay safety net and prepay feedback loop.
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Large regional plan integrates Coding Validation into existing prepay solution to drive incremental savings
Read our Savings Spotlight and learn how a large plan deployed Payment Policy Management and Coding Validation for significant incremental savings and reduced abrasion.
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Leading New York plan’s operational improvements, mature policy library refinement contributes to substantial savings
Read our Savings Spotlight and learn how a large New York plan achieved better operational efficiency and savings with Payment Accuracy solutions.
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Understanding the 2022 CPT code changes %% Watch the on-demand webinar
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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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Panel discussion: The portfolio approach to managing payment integrity
Watch as Cotiviti experts discuss discuss how to address the technical, clinical, and organizational challenges of an integrated payment integrity program to reap the best possible rewards.
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