Cotiviti Blog (3)

Featured

FRAUD, WASTE, AND ABUSE

Webinar: Reducing FWA through partnership

Angela Mitchell

Sep 4, 2026

Latest Content

QUALITY & STARS

Webinar: Decoding the latest HEDIS tech specs

Samantha Davis

Sep 1, 2026

FRAUD, WASTE, AND ABUSE DENTAL CLAIM ACCURACY PAYMENT ACCURACY

White Paper: Uncovering dental claim errors through advanced analytics

Steven M. Canfield, D.D.S.

Aug 26, 2026

VALUE-BASED PAYMENTS & INSIGHTS

Webinar series: Real AI solutions for value-based care

Demi Plessas, Ph.D.

Aug 24, 2026

PAYMENT INTEGRITY

Webinar: A Claim Pattern Review case study

Ed McCormick

Jun 19, 2023

CONSUMER ENGAGEMENT

Podcast: Preventing coverage loss during redetermination

Jeff Robinson

Jun 14, 2023

QUALITY AND STARS

Preparing for a “Universal Foundation” of quality measures

Branka Sustic

Jun 12, 2023

FRAUD, WASTE, AND ABUSE

How to sequence FWA investigations for greater impact

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 7, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging high-frequency telehealth claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 1, 2023

QUALITY AND STARS

Closing the Gap: Men’s Health Month

Marge Ciancetta

May 30, 2023

PAYMENT INTEGRITY

3 takeaways from CCC23 to improve payment integrity

Matthew Hawley

May 24, 2023

QUALITY AND STARS

Webinar: Optimizing MA Star Ratings with Star Intelligence

Ashley McNairy

May 23, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

May 4, 2023

CONSUMER ENGAGEMENT

Closing the Gap: Improving osteoporosis prevention

Gabe Boucher

Apr 27, 2023

PAYMENT INTEGRITY

White paper: The “smart prepay” approach to payment integrity

Matthew Hawley

Apr 20, 2023

QUALITY AND STARS

CONSUMER ENGAGEMENT

Closing the Gap: National Minority Health Month

Leah Dewey

Apr 17, 2023

PAYMENT INTEGRITY

Savings spotlight: Cotiviti takes on payment integrity in 5 new case studies

Warren Lesnefsky

Apr 3, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Prepay review leads to >$100K in projected annual savings

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 28, 2023

FRAUD, WASTE, AND ABUSE

Webinar: Sequencing investigative activities for greater provider impact

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 22, 2023

QUALITY AND STARS

Closing the Gap: Improve screening rates during Colorectal Cancer Awareness Month

Thelma Belli

Mar 21, 2023

FRAUD, WASTE, AND ABUSE

Podcast: How health plans investigate and prevent FWA

Jeff Robinson

Mar 2, 2023

QUALITY AND STARS

Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025

Samantha Davis

Feb 23, 2023

QUALITY AND STARS

Closing the Gap: Preventative measures for better heart health

Ashley McNairy

Feb 21, 2023

QUALITY AND STARS

Rounding up Star Ratings changes in the 2024 Advance Notice

Ashley McNairy

Feb 16, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q4 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

Feb 14, 2023

CONSUMER ENGAGEMENT

Taking action to prepare for Medicaid redetermination

Leah Dewey

Feb 7, 2023

RISK ADJUSTMENT

Forging ahead after the Medicare Advantage RADV Final Rule

Cotiviti

Feb 6, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Navigating 2023 CPT code changes

Erin Rutzler, AHFI, CFE, CHC, CPC

Jan 30, 2023

QUALITY AND STARS

Closing the Gap: Improving cervical cancer prevention

Jamison Gillitzer

Jan 25, 2023

PAYMENT INTEGRITY

eBook: The payment integrity playbook for success in 2023 and beyond

Jordan Bazinsky

Jan 17, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching improper billing within genetic testing and molecular pathology

Melanie Poole

Dec 21, 2022

FRAUD, WASTE, AND ABUSE

Maintaining a strong and successful SIU in 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

Dec 14, 2022

PAYMENT INTEGRITY

How Data Mining helps clean up your claim payment stream

Susan Murray

Dec 8, 2022

FRAUD, WASTE, AND ABUSE

Webinar: Deter FWA in 2023 with the latest investigative strategies

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 29, 2022

FRAUD, WASTE, AND ABUSE

Focusing on prepay FWA prevention at NHCAA's Annual Training Conference

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 14, 2022

CONSUMER ENGAGEMENT

How payers can drive collaboration to support health equity

Leah Dewey

Nov 8, 2022

RISK ADJUSTMENT

Webinar: How to build risk adjustment into your value-based care strategy

Jonas Foit

Nov 4, 2022

QUALITY AND STARS

Webinar: Optimize Medicare Advantage Star Ratings with Star Intelligence

Ashley McNairy

Nov 1, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

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

Cotiviti

Oct 11, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting overpayments in mental health services

Melanie Poole

Sep 28, 2022

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, AHFI, CFE, CHC, CPC

Sep 14, 2022

FRAUD, WASTE, AND ABUSE

SIU panel discussion: Best practices in healthcare payer FWA

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 12, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging for excessive modifiers

Melanie Poole

Sep 1, 2022

QUALITY AND STARS

Moving to in-year HEDIS: 5 best practices to boost scores and member engagement

Cotiviti

Aug 30, 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, AHFI, CFE, CHC, CPC

Aug 18, 2022

QUALITY AND STARS

Podcast: Cotiviti SVP Rachael Jones on health equity strategy

Jeff Robinson

Aug 11, 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, AHFI, CFE, CHC, CPC

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

CONSUMER ENGAGEMENT

White paper: How to engage Medicaid members for more equitable outcomes

Roberto Arce

Jun 8, 2022

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

White paper: Detecting and preventing FWA in behavioral health claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 1, 2022

PAYMENT INTEGRITY

eBook: The payment integrity leader’s playbook for success in 2022 and beyond

Brett Arnold

May 26, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

May 24, 2022

COTIVITI LEADERSHIP

Moving from surviving to thriving: 5 takeaways from CCC22 to improve U.S. healthcare

Jordan Bazinsky

May 19, 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

Cotiviti

May 6, 2022

PAYMENT INTEGRITY

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

Kristie Ressler, D.O.

May 3, 2022

RISK ADJUSTMENT

Medicare Advantage risk adjustment in 2022: Driving to fierce and focused

Cotiviti

Apr 21, 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

Cotiviti

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

Cotiviti

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

HEDIS MY 2023: Noteworthy topics to consider during NCQA’s public comment period

Samantha Davis

Mar 9, 2022

PAYMENT INTEGRITY

On-demand webinar: Beyond prior authorization: Ensuring accuracy of specialty drug claims

Jonathan Starr, PharmD

Mar 2, 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, AHFI, CFE, CHC, CPC

Jan 20, 2022

QUALITY AND STARS

COVID-19

Analysis: Behavioral health conditions, risk, and cost during the COVID-19 pandemic

Leah Dewey

Dec 15, 2021

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, AHFI, CFE, CHC, CPC

Dec 2, 2021

QUALITY AND STARS

CMS Innovation Center sharpens focus on health equity in new strategy refresh

Mary Srinivas

Nov 18, 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, AHFI, CFE, CHC, CPC

Nov 8, 2021

PAYMENT INTEGRITY

3 reasons retrospective solutions are a vital part of claims payment integrity

Susan Murray

Nov 3, 2021

CONSUMER ENGAGEMENT

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

Jeff Robinson

Nov 1, 2021

RISK ADJUSTMENT

RISE Webinar: Uniting risk adjustment, HEDIS, and Star Ratings initiatives

Jonas Foit

Oct 28, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q3 2021

Erin Rutzler, AHFI, CFE, CHC, CPC

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

Execute healthcare claims editing more accurately—with less provider abrasion

Matthew Hawley

Sep 22, 2021

CONSUMER ENGAGEMENT

4 best practices to prevent rapid disenrollment for Medicare Advantage plans

Anne L. Davis

Sep 15, 2021

PAYMENT INTEGRITY

On-demand panel webinar: Right payment integrity intervention, right time

Michael Jablon

Aug 31, 2021

CONSUMER ENGAGEMENT

Boosting childhood vaccination rates amid a resurging pandemic

Jennifer Forster

Aug 19, 2021

PAYMENT INTEGRITY

Podcast: Cotiviti CEO Emad Rizk, M.D. on payment integrity and interoperability

Jeff Robinson

Aug 4, 2021

On-demand Webinar: Moving beyond prepay vs. postpay

Naomi Murphy

Jul 28, 2021

ENTERPRISE DATA ANALYTICS

Video: Ensuring that healthcare data is shared ethically

Jeff Robinson

Jul 26, 2021

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