Our latest healthcare insights and perspectives
FRAUD, WASTE, AND ABUSE
White Paper: Enhancing dental payment accuracy to combat FWASteven M. Canfield, D.D.S.
Dec 18, 2024
FRAUD, WASTE, AND ABUSE
Webinar: Advancing beyond traditional FWA lead detectionRyan Cleverly, AHFI
Dec 3, 2024
PAYMENT INTEGRITY
Case study: Benefits administrator achieves millions in payment integrity valueMichael Jablon
Nov 25, 2024
FRAUD, WASTE, AND ABUSE
Realizing the evolution of FWA prevention and managementWarren Lesnefsky
Nov 18, 2024
PAYMENT INTEGRITY
Keeping members in mind: Optimizing coordination of benefitsNaomi Murphy
Mar 23, 2021
QUALITY AND STARS
NCQA publishes proposed changes to HEDIS measures for MY 2022Jamison Gillitzer
Mar 2, 2021
QUALITY AND STARS
Cotiviti achieves 20 years of HEDIS® certification amid expanding quality landscapeJeff Robinson
Feb 25, 2021
QUALITY AND STARS
CMS Star Ratings: Navigating changes in 2021 and the coming yearsAshley McNairy
Feb 16, 2021
Naomi Murphy
Jan 20, 2021
COVID-19
COVID-19 health risk by underlying condition and age: what the latest data saysShyamali Mukerjee
Jan 11, 2021
COTIVITI LEADERSHIP
3 predictions for healthcare in 2021 from Cotiviti CEO Emad Rizk, M.D.Jeff Robinson
Dec 21, 2020
COVID-19
Video: Forecasting COVID-19 outbreaks in Massachusetts and beyondJeff Robinson
Dec 4, 2020
PAYMENT INTEGRITY
Podcast: Dr. Emad Rizk on managing telehealth concerns amid COVID-19Tom Betar
Nov 24, 2020
QUALITY AND STARS
Precision medicine’s value to complex disease managementShyamali Mukerjee
Nov 3, 2020
COVID-19
PAYMENT INTEGRITY
Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemicErin Rutzler
Oct 27, 2020
QUALITY AND STARS
Cotiviti clients outperform the field in 2021 Star RatingsAshley McNairy
Oct 14, 2020
COVID-19
Dr. Emad Rizk: Why analytics-driven interoperability is vital in 2020 and beyondJeff Robinson
Oct 6, 2020
NETWORK AND CLINICAL ANALYTICS
Case study: Accelerating value-driven care through provider specialty tieringMac Davis
Oct 2, 2020
COTIVITI LEADERSHIP
COVID-19
Video: Cotiviti CEO Emad Rizk, M.D., on the current state of interoperabilityTom Betar
Sep 16, 2020
RISK ADJUSTMENT
CMS releases ACA risk adjustment transfer payments and HRADV adjustments for 2019David Wolf
Sep 14, 2020
ENTERPRISE DATA ANALYTICS
Podcast: Cotiviti SVP Rachael Jones on the power of predictive dataTom Betar
Sep 10, 2020
COTIVITI LEADERSHIP
Video: Cotiviti VP Nicole Neumarker on practical applications of AI in healthcareTom Betar
Aug 28, 2020
COTIVITI LEADERSHIP
Podcast: Cotiviti's Jordan Bazinsky on the state of payer dataJeff Robinson
Aug 20, 2020
COVID-19
PAYMENT INTEGRITY
Q&A: Highmark's payment integrity director on new COVID-19 claim trendsMichael Jablon
Aug 17, 2020
COTIVITI LEADERSHIP
Five ways to disrupt U.S. healthcare from Cotiviti’s Jordan BazinskyTom Betar
Aug 11, 2020
QUALITY AND STARS
Q&A: How Arkansas Blue Cross created a value-based payment modelRachael Jones
Aug 5, 2020
COVID-19
Rolling back the surge: new Cotiviti map helps forecast COVID-19 health risk severityJoshua Uda
Jul 30, 2020
MEDICAID
COVID-19
PAYMENT INTEGRITY
Five critical areas of focus for Medicaid plans amid COVID-19Bonnie Phillips
Jul 15, 2020
COVID-19
PAYMENT INTEGRITY
Busted: the top COVID-19 healthcare fraud schemesErin Rutzler
Jul 13, 2020
QUALITY AND STARS
COVID-19
Webinar: Turning the page on this year's HEDIS seasonBranka Sustic
Jul 2, 2020
RISK ADJUSTMENT
Mitigating the impact of COVID-19 on risk adjustment and quality scoresAshley McNairy
Jun 26, 2020
COVID-19
PAYMENT INTEGRITY
Video: Preventing healthcare fraud, waste, and abuse before paying claimsErin Rutzler
Jun 24, 2020
ENTERPRISE DATA ANALYTICS
COVID-19
How COVID-19 has highlighted the urgency of interoperabilityTom Betar
Jun 18, 2020
PAYMENT INTEGRITY
Webinar: Achieving payment integrity success amid COVID-19Michelle DeNetto, M.D.
Jun 11, 2020
ENTERPRISE DATA ANALYTICS
Preparing for the aftermath: collecting COVID-19 analytic insightsRachael Jones
Jun 9, 2020
COTIVITI LEADERSHIP
COVID-19
Video: CEO Emad Rizk, M.D. on Cotiviti's COVID-19 Outbreak TrackerTom Betar
May 27, 2020
RISK ADJUSTMENT
Laying the foundation for commercial risk adjustment success amid COVID-19Rebecca Darnall
May 21, 2020
QUALITY AND STARS
How employers can use claims data to address opioid addictionTom Betar
May 18, 2020
COTIVITI LEADERSHIP
COVID-19
Navigating data sharing and patient privacy amid public health crisesTom Betar
Apr 24, 2020
COVID-19
Cotiviti leverages the predictive power of data to respond to COVID-19Joshua Uda
Apr 20, 2020
COVID-19
CMS bumps Medicare Advantage growth rate amid COVID-19 outbreakRebecca Darnall
Apr 7, 2020
COVID-19
COVID-19 claim editing: coding resources for health plansMichelle DeNetto, M.D.
Apr 1, 2020
COVID-19
PAYMENT INTEGRITY
Coronavirus FWA: What health plans need to knowErin Rutzler
Mar 23, 2020
QUALITY AND STARS
Breaking down NCQA’s proposed changes for HEDIS Measurement Year 2020Jamison Gillitzer
Feb 20, 2020
PAYMENT INTEGRITY
Webinar: Leading the way forward in payment accuracyWarren Lesnefsky
Jan 23, 2020
RISK ADJUSTMENT
CMS continues shift to risk adjustment encounter data in 2021 Advance NoticeRebecca Darnall
Jan 17, 2020
PAYMENT INTEGRITY
Case study: How to build a strong healthcare fraud case leading to convictionMark Starinsky, AHFI, CFE, CHC
Jan 16, 2020
ENTERPRISE DATA ANALYTICS
The importance of collaborative data sharing to enable AI-driven healthcareTom Betar
Jan 9, 2020
ENTERPRISE DATA ANALYTICS
Video: Wrapping up 2019 at Cotiviti and looking ahead to 2020Jeff Robinson
Dec 20, 2019
PAYMENT INTEGRITY
Podcast: The keys to successful claim overpayment recoveryJeff Robinson
Dec 9, 2019
ENTERPRISE DATA ANALYTICS
Dr. Emad Rizk on the opportunities, challenges of AI in healthcareTom Betar
Dec 5, 2019
ENTERPRISE DATA ANALYTICS
Be prepared: best practices for data management when health plans mergeTom Betar
Nov 20, 2019
PAYMENT INTEGRITY
Dr. Emad Rizk: 3 tips for moving from retrospective to prospective payment integrityJeff Robinson
Nov 18, 2019
ENTERPRISE DATA ANALYTICS
Video: Cotiviti CEO Emad Rizk, M.D., on the future of AI in healthcareJeff Robinson
Oct 24, 2019
PAYMENT INTEGRITY
Busted: the top 10 healthcare fraud schemes of Q3 2019Warren Lesnefsky
Oct 7, 2019
NETWORK PERFORMANCE
How finance leaders can drive alignment between health plans and physiciansEmad Rizk, M.D.
Aug 20, 2019
RISK ADJUSTMENT
What the numbers mean: ACA risk adjustment transfer payments for 2018Rebecca Darnall
Aug 14, 2019
ENTERPRISE DATA ANALYTICS
How payers can "future-proof" their organizations with dataJeff Robinson
Jul 9, 2019
PAYMENT INTEGRITY
Podcast: How to step up claim overpayment recovery resultsJeff Robinson
Jun 19, 2019
PAYMENT INTEGRITY
Podcast: how to sharpen your inpatient auditing program with better chart selectionJeff Robinson
May 20, 2019
QUALITY AND STARS
From the HEDIS® 2019 trenches: preparing for MRRV successJenna Fitcher
May 15, 2019
QUALITY AND STARS
From the HEDIS® 2019 trenches: the importance of an admin refreshJenna Fitcher
Apr 18, 2019
ENTERPRISE DATA ANALYTICS
Podcast: Excellus BlueCross BlueShield’s data lake journeyJeff Robinson
Apr 15, 2019
RISK ADJUSTMENT
Full steam ahead: CMS finalizes new condition count model and risk score blend for Medicare Advantage plansLesley Brown
Apr 10, 2019
QUALITY AND STARS
The 2020 Medicare Advantage and Part D Final Call Letter: What to know about Star RatingsAshley McNairy
Apr 5, 2019
ENTERPRISE DATA ANALYTICS
Data lakes: the rising tide that lifts all healthcare stakeholdersSumant Rao
Mar 25, 2019
PAYMENT INTEGRITY
Podcast: validating clinical claims without medical record reviewJeff Robinson
Mar 22, 2019
QUALITY AND STARS
From the HEDIS® 2019 trenches: tracking your retrieval and abstraction effortsJenna Fitcher
Mar 20, 2019
ENTERPRISE DATA ANALYTICS
Podcast: A path to success in the changing data management landscapeJeff Robinson
Mar 12, 2019
QUALITY AND STARS
Looking ahead: proposed measure changes for HEDIS® 2020Jamison Gillitzer
Mar 6, 2019
RISK ADJUSTMENT
How to stay sharp during commercial risk adjustment seasonRebecca Darnall
Feb 28, 2019
QUALITY AND STARS
From the HEDIS® 2019 trenches: optimizing your chasesLeah Breeggemann
Feb 20, 2019
ENTERPRISE DATA ANALYTICS
Podcast: improving healthcare tech for a 360° view of patient careJeff Robinson
Feb 12, 2019
QUALITY AND STARS
From the HEDIS® 2019 trenches: getting your data in orderJamison Gillitzer
Jan 24, 2019
ENTERPRISE DATA ANALYTICS
What should payers consider before diving into a data lake?Jeff Robinson
Jan 17, 2019
PAYMENT INTEGRITY
Busted: rounding up the top fraud schemes of Q3-Q4 2018Warren Lesnefsky
Jan 10, 2019
RISK ADJUSTMENT
Beneficiary-specific risk adjustment: proposed 2020 Medicare Advantage risk adjustment model changesLesley Brown
Jan 4, 2019
QUALITY AND STARS
Achieving five-star success: takeaways from the Medicare Star Ratings & Quality Assurance SummitAshley McNairy
Dec 13, 2018
PAYMENT INTEGRITY
Podcast: How clinical validation is good for payers, providers, and patientsJeff Robinson
Sep 27, 2018