Cotiviti Blog (5)

Featured

MEDICARE ADVANTAGE CONSUMER ENGAGEMENT

Cultivating a strategic advantage during Medicare enrollment shifts

Leah Dewey, MPH

Oct 20, 2026

Latest Content

RISK ADJUSTMENT (PAYER)

What CMS’s evolving risk adjustment strategy means for health plans

Katie Sender, MSN, RN, PHN, CRC

Oct 15, 2026

INTEROPERABILITY

Bridging the divide between fax and FHIR

Brett Arnold

Oct 14, 2026

RISK ADJUSTMENT (PAYER) RISK ADJUSTMENT (PROVIDER)

Next in risk adjustment: Auto-linking charts to encounters

John Wilhelm

Oct 12, 2026

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

PAYMENT INTEGRITY

Busted: rounding up the top fraud schemes of Q3-Q4 2018

Warren Lesnefsky

Jan 10, 2019

RISK ADJUSTMENT

Beneficiary-specific risk adjustment: proposed 2020 Medicare Advantage risk adjustment model changes

Lesley Brown

Jan 4, 2019

QUALITY AND STARS

Achieving five-star success: takeaways from the Medicare Star Ratings & Quality Assurance Summit

Ashley McNairy

Dec 13, 2018

PAYMENT INTEGRITY

Podcast: Fighting healthcare fraud and abuse with NHCAA

Jeff Robinson

Nov 6, 2018

QUALITY AND STARS

The 2019 Star Ratings program: making the cut

Ashley McNairy

Oct 15, 2018

PAYMENT INTEGRITY

Podcast: How clinical validation is good for payers, providers, and patients

Jeff Robinson

Sep 27, 2018

How consumers, employers, and the government are coming “off the sidelines” in value-based care

Jeff Robinson

Sep 19, 2018

RISK ADJUSTMENT

The three fundamentals of risk adjustment success

David Wolf

Sep 13, 2018

Payer-provider collaboration tools: a state of the union

Jeff Robinson

Aug 29, 2018

PAYMENT INTEGRITY

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

RISK ADJUSTMENT

Breaking it down: CMS reinstates ACA risk adjustment payments

Rebecca Darnall

Jul 25, 2018

RISK ADJUSTMENT

Crunching the numbers as ACA risk adjustment transfer payments are put on hold

Lesley Brown

Jul 11, 2018

QUALITY AND STARS

Podcast: Navigating to better Star Ratings performance

Jeff Robinson

Jun 20, 2018

RISK ADJUSTMENT

Suspecting analytics transformed—the rapid movement from clinical rules to machine learning

David Costello

May 30, 2018

QUALITY AND STARS

Podcast: The final sprint to the HEDIS 2018 finish

Jeff Robinson

May 22, 2018

ENTERPRISE DATA ANALYTICS

Set your data free! Takeaways from the 2018 Health Datapalooza

David Costello

May 3, 2018

QUALITY AND STARS

Podcast: Are you ready for medical record review validation?

Jeff Robinson

Apr 24, 2018

PAYMENT INTEGRITY

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

QUALITY AND STARS

The CMS 2019 Final Rate Notice: Star Ratings changes

Ashley McNairy

Apr 13, 2018

RISK ADJUSTMENT

Podcast: Sifting the 2019 Medicare Advantage Final Rate Notice

Jeff Robinson

Apr 6, 2018

QUALITY AND STARS

From the trenches podcast: HEDIS® measure changes on the horizon

Jeff Robinson

Mar 28, 2018

QUALITY AND STARS

From the trenches podcast: The changing quality improvement landscape

Jeff Robinson

Feb 14, 2018

QUALITY AND STARS

from the trenches podcast: prepping for HEDIS® 2018 production

Jeff Robinson

Jan 30, 2018

ENTERPRISE DATA ANALYTICS

What makes Verscend a “major player” in clinical and financial analytics?

Jordan Bazinsky

Jan 23, 2018

PAYMENT INTEGRITY

Get more bang for your buck with claim editing analytics

Jonathan Edwards

Jan 17, 2018

RISK ADJUSTMENT

Breaking it down: proposed Medicare Advantage risk adjustment model changes for 2019

Lesley Brown

Jan 11, 2018

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