Cotiviti Blog (4)

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

NETWORK AND CLINICAL ANALYTICS

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

Leah Dewey

Jun 10, 2021

PAYMENT INTEGRITY

On-demand webinar: Integrating pre and postpay programs for optimal FWA results

Erin Rutzler, AHFI, CFE, CHC, CPC

May 19, 2021

QUALITY AND STARS

Video: Improving efficiency across quality improvement teams

David Wolf

May 13, 2021

RISK ADJUSTMENT

Q&A: Strategic payer initiatives at the intersection of risk and quality

David Costello

May 11, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q1 2021

Erin Rutzler, AHFI, CFE, CHC, CPC

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

Cotiviti achieves 20 years of HEDIS® certification amid expanding quality landscape

Jeff Robinson

Feb 25, 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, AHFI, CFE, CHC, CPC

Jan 25, 2021

On-demand webinar: Improving coordination of benefits with a member-centric approach

Naomi Murphy

Jan 20, 2021

COVID-19

COVID-19 health risk by underlying condition and age: what the latest data says

Shyamali Mukerjee

Jan 11, 2021

COTIVITI LEADERSHIP

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

Jeff Robinson

Dec 21, 2020

Join Cotiviti to help eliminate medical debt for families in need

Christine Scarlett

Dec 14, 2020

Webinar: Breaking down the 2021 CPT® code changes

Cherie Mazeffa, D.O.

Dec 9, 2020

COVID-19

Video: Forecasting COVID-19 outbreaks in Massachusetts and beyond

Jeff Robinson

Dec 4, 2020

MEDICARE ADVANTAGE

CMS 2022 Advance Notice: 4 key takeaways for MA plans

David Costello

Dec 3, 2020

Podcast: A better approach to clinical appropriateness in claims payment

Jeff Robinson

Dec 1, 2020

PAYMENT INTEGRITY

Podcast: Dr. Emad Rizk on managing telehealth concerns amid COVID-19

Tom Betar

Nov 24, 2020

QUALITY AND STARS

Precision medicine’s value to complex disease management

Shyamali Mukerjee

Nov 3, 2020

COVID-19

PAYMENT INTEGRITY

Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemic

Erin Rutzler, AHFI, CFE, CHC, CPC

Oct 27, 2020

QUALITY AND STARS

Cotiviti clients outperform the field in 2021 Star Ratings

Ashley McNairy

Oct 14, 2020

COVID-19

Dr. Emad Rizk: Why analytics-driven interoperability is vital in 2020 and beyond

Jeff Robinson

Oct 6, 2020

NETWORK AND CLINICAL ANALYTICS

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

Mac Davis

Oct 2, 2020

COTIVITI LEADERSHIP

COVID-19

Video: Cotiviti CEO Emad Rizk, M.D., on the current state of interoperability

Tom Betar

Sep 16, 2020

RISK ADJUSTMENT

CMS releases ACA risk adjustment transfer payments and HRADV adjustments for 2019

David Wolf

Sep 14, 2020

ENTERPRISE DATA ANALYTICS

Podcast: Cotiviti SVP Rachael Jones on the power of predictive data

Tom Betar

Sep 10, 2020

COTIVITI LEADERSHIP

Podcast: Cotiviti's Jordan Bazinsky on the state of payer data

Jeff Robinson

Aug 20, 2020

COVID-19

PAYMENT INTEGRITY

Q&A: Highmark's payment integrity director on new COVID-19 claim trends

Michael Jablon

Aug 17, 2020

COTIVITI LEADERSHIP

Five ways to disrupt U.S. healthcare from Cotiviti’s Jordan Bazinsky

Tom Betar

Aug 11, 2020

QUALITY AND STARS

Q&A: How Arkansas Blue Cross created a value-based payment model

Rachael Jones

Aug 5, 2020

COVID-19

Rolling back the surge: new Cotiviti map helps forecast COVID-19 health risk severity

Joshua Uda

Jul 30, 2020

MEDICAID

COVID-19

PAYMENT INTEGRITY

Five critical areas of focus for Medicaid plans amid COVID-19

Bonnie Phillips

Jul 15, 2020

COVID-19

PAYMENT INTEGRITY

Busted: the top COVID-19 healthcare fraud schemes

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 13, 2020

QUALITY AND STARS

COVID-19

Webinar: Turning the page on this year's HEDIS season

Branka Sustic

Jul 2, 2020

RISK ADJUSTMENT

Mitigating the impact of COVID-19 on risk adjustment and quality scores

Ashley McNairy

Jun 26, 2020

COVID-19

PAYMENT INTEGRITY

Video: Preventing healthcare fraud, waste, and abuse before paying claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 24, 2020

ENTERPRISE DATA ANALYTICS

COVID-19

How COVID-19 has highlighted the urgency of interoperability

Tom Betar

Jun 18, 2020

PAYMENT INTEGRITY

Webinar: Achieving payment integrity success amid COVID-19

Michelle DeNetto, M.D.

Jun 11, 2020

ENTERPRISE DATA ANALYTICS

Preparing for the aftermath: collecting COVID-19 analytic insights

Rachael Jones

Jun 9, 2020

QUALITY AND STARS

Webinar: A data-driven approach to value-based payment

Mac Davis

May 28, 2020

COTIVITI LEADERSHIP

COVID-19

Video: CEO Emad Rizk, M.D. on Cotiviti's COVID-19 Outbreak Tracker

Tom Betar

May 27, 2020

RISK ADJUSTMENT

Laying the foundation for commercial risk adjustment success amid COVID-19

Rebecca Darnall

May 21, 2020

QUALITY AND STARS

How employers can use claims data to address opioid addiction

Tom Betar

May 18, 2020

COTIVITI LEADERSHIP

COVID-19

Navigating data sharing and patient privacy amid public health crises

Tom Betar

Apr 24, 2020

COVID-19

Cotiviti leverages the predictive power of data to respond to COVID-19

Joshua Uda

Apr 20, 2020

COVID-19

CMS bumps Medicare Advantage growth rate amid COVID-19 outbreak

Rebecca Darnall

Apr 7, 2020

COVID-19

COVID-19 claim editing: coding resources for health plans

Michelle DeNetto, M.D.

Apr 1, 2020

COVID-19

PAYMENT INTEGRITY

Coronavirus FWA: What health plans need to know

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 23, 2020

Podcast: Cotiviti VP Nicole Neumarker on team leadership in tech

Tom Betar

Mar 18, 2020

HHS issues final interoperability rules impacting payers and providers

Jeff Robinson

Mar 10, 2020

COTIVITI LEADERSHIP

Q&A: Leadership lessons from Cotiviti VP Nicole Neumarker

Tom Betar

Mar 5, 2020

QUALITY AND STARS

Breaking down NCQA’s proposed changes for HEDIS Measurement Year 2020

Jamison Gillitzer

Feb 20, 2020

PAYMENT INTEGRITY

Busted: the top healthcare fraud schemes of Q4 2019

Warren Lesnefsky

Feb 18, 2020

PAYMENT INTEGRITY

Webinar: Leading the way forward in payment accuracy

Warren Lesnefsky

Jan 23, 2020

RISK ADJUSTMENT

CMS continues shift to risk adjustment encounter data in 2021 Advance Notice

Rebecca Darnall

Jan 17, 2020

PAYMENT INTEGRITY

Case study: How to build a strong healthcare fraud case leading to conviction

Mark Starinsky, AHFI, CFE, CHC

Jan 16, 2020

QUALITY AND STARS

Video: The HEDIS 2020 path to success

Jeff Robinson

Jan 15, 2020

ENTERPRISE DATA ANALYTICS

The importance of collaborative data sharing to enable AI-driven healthcare

Tom Betar

Jan 9, 2020

ENTERPRISE DATA ANALYTICS

Video: Wrapping up 2019 at Cotiviti and looking ahead to 2020

Jeff Robinson

Dec 20, 2019

QUALITY AND STARS

Video: How HEDIS recertification impacts health plans

Jeff Robinson

Dec 11, 2019

PAYMENT INTEGRITY

Podcast: The keys to successful claim overpayment recovery

Jeff Robinson

Dec 9, 2019

ENTERPRISE DATA ANALYTICS

Dr. Emad Rizk on the opportunities, challenges of AI in healthcare

Tom Betar

Dec 5, 2019

ENTERPRISE DATA ANALYTICS

Be prepared: best practices for data management when health plans merge

Tom Betar

Nov 20, 2019

PAYMENT INTEGRITY

Dr. Emad Rizk: 3 tips for moving from retrospective to prospective payment integrity

Jeff Robinson

Nov 18, 2019

ENTERPRISE DATA ANALYTICS

Video: Cotiviti CEO Emad Rizk, M.D., on the future of AI in healthcare

Jeff Robinson

Oct 24, 2019

Case study: How Health Partners Plans recovered a >$1M overpayment

Warren Lesnefsky

Oct 10, 2019

PAYMENT INTEGRITY

Busted: the top 10 healthcare fraud schemes of Q3 2019

Warren Lesnefsky

Oct 7, 2019

NETWORK PERFORMANCE

Podcast: Dr. Emad Rizk on leadership and innovation

Jeff Robinson

Aug 22, 2019

NETWORK PERFORMANCE

How finance leaders can drive alignment between health plans and physicians

Emad Rizk, M.D.

Aug 20, 2019

RISK ADJUSTMENT

What the numbers mean: ACA risk adjustment transfer payments for 2018

Rebecca Darnall

Aug 14, 2019

PAYMENT INTEGRITY

Busted: the top fraud charges of Q2 2019

Warren Lesnefsky

Jul 18, 2019

ENTERPRISE DATA ANALYTICS

How payers can "future-proof" their organizations with data

Jeff Robinson

Jul 9, 2019

PAYMENT INTEGRITY

Podcast: How to step up claim overpayment recovery results

Jeff Robinson

Jun 19, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: the final countdown

Jamison Gillitzer

Jun 10, 2019

Podcast: The headwinds and tailwinds impacting payer innovation success

Jeff Robinson

Jun 5, 2019

PAYMENT INTEGRITY

Podcast: how to sharpen your inpatient auditing program with better chart selection

Jeff Robinson

May 20, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: preparing for MRRV success

Jenna Fitcher

May 15, 2019

PAYMENT INTEGRITY

Busted: the top fraud schemes of Q1 2019

Warren Lesnefsky

Apr 23, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: the importance of an admin refresh

Jenna Fitcher

Apr 18, 2019

ENTERPRISE DATA ANALYTICS

Podcast: Excellus BlueCross BlueShield’s data lake journey

Jeff Robinson

Apr 15, 2019

RISK ADJUSTMENT

Full steam ahead: CMS finalizes new condition count model and risk score blend for Medicare Advantage plans

Lesley Brown

Apr 10, 2019

QUALITY AND STARS

The 2020 Medicare Advantage and Part D Final Call Letter: What to know about Star Ratings

Ashley McNairy

Apr 5, 2019

ENTERPRISE DATA ANALYTICS

Data lakes: the rising tide that lifts all healthcare stakeholders

Sumant Rao

Mar 25, 2019

PAYMENT INTEGRITY

Podcast: validating clinical claims without medical record review

Jeff Robinson

Mar 22, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: tracking your retrieval and abstraction efforts

Jenna Fitcher

Mar 20, 2019

ENTERPRISE DATA ANALYTICS

Podcast: A path to success in the changing data management landscape

Jeff Robinson

Mar 12, 2019

QUALITY AND STARS

Looking ahead: proposed measure changes for HEDIS® 2020

Jamison Gillitzer

Mar 6, 2019

RISK ADJUSTMENT

How to stay sharp during commercial risk adjustment season

Rebecca Darnall

Feb 28, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: optimizing your chases

Leah Breeggemann

Feb 20, 2019

ENTERPRISE DATA ANALYTICS

Podcast: improving healthcare tech for a 360° view of patient care

Jeff Robinson

Feb 12, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: getting your data in order

Jamison Gillitzer

Jan 24, 2019

ENTERPRISE DATA ANALYTICS

What should payers consider before diving into a data lake?

Jeff Robinson

Jan 17, 2019

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