Our latest healthcare insights and perspectives
PAYMENT INTEGRITY
Case study: Benefits administrator achieves millions in payment integrity valueMichael Jablon
Nov 25, 2024
PAYMENT INTEGRITY
Webinar: What TPAs need to know about payment integrityMichael Jablon
Oct 24, 2024
PAYMENT INTEGRITY
Recovering improper costs in SNF and IRF claimsAmy Carleton, RN, BSN
Sep 16, 2024
PAYMENT INTEGRITY
4 attributes of a successful specialty drug payment integrity programJonathan Starr, PharmD
Sep 3, 2024
PAYMENT INTEGRITY
eBook: The three pillars of coordination of benefits (COB) successEvan Okulanis
Aug 26, 2024
PAYMENT INTEGRITY
Checklist: How to build a valuable coordination of benefits programEvan Okulanis
Aug 1, 2024
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
Video: Navigating new frontiers in FWA and payment integrityErin Rutzler
Jul 16, 2024
PAYMENT INTEGRITY
3 strategies for payers to curb increasing medical loss ratiosMichael Jablon
Jun 17, 2024
PAYMENT INTEGRITY
White paper: Getting self-insured employer groups on board with payment integrityMatthew Hawley
Jun 13, 2024
PAYMENT INTEGRITY
Case study: Protecting financial integrity with prepay review solutionsWarren Lesnefsky
Jun 5, 2024
PAYMENT INTEGRITY
Podcast: How to build a valuable coordination of benefits programBeth Waibel
Jun 3, 2024
PAYMENT INTEGRITY
eBook: How to achieve “total value” in payment integrityMatthew Hawley
May 8, 2024
PAYMENT INTEGRITY
Webinar: Unlock the “Total Value” of your payment integrity programMichael Jablon
Apr 16, 2024
PAYMENT INTEGRITY
Case study: Coordination of benefits (COB) results soar for large national planEvan Okulanis
Apr 9, 2024
PAYMENT INTEGRITY
Podcast: The "Total Value" approach to payment integrityJeff Robinson
Mar 26, 2024
PAYMENT INTEGRITY
White Paper: Improving payment integrity with inpatient claim reviewCheri Moehring
Jan 29, 2024
PAYMENT INTEGRITY
Case study: Data mining for errors yields more accurate pharmacy paymentsMatthew Herbein
Nov 16, 2023
PAYMENT INTEGRITY
Savings spotlight: Dental claim review expertise nets significant savingsSteve Canfield, DDS
Sep 13, 2023
PAYMENT INTEGRITY
Podcast: Payment integrity for self-insured (ASO) employer groupsJeff Robinson
Aug 16, 2023
PAYMENT INTEGRITY
Video: A new approach to prepay coordination of benefits (COB) validationNaomi Murphy
Aug 14, 2023
PAYMENT INTEGRITY
Webinar: Making payment integrity work for your self-insured groupsAllyn Sullivan
Jul 19, 2023
PAYMENT INTEGRITY
4 strategies to curb medical cost increases as healthcare utilization reboundsMatthew Hawley
Jul 10, 2023
PAYMENT INTEGRITY
White paper: The “smart prepay” approach to payment integrityMatthew Hawley
Apr 20, 2023
PAYMENT INTEGRITY
Savings spotlight: Cotiviti takes on payment integrity in 5 new case studiesWarren Lesnefsky
Apr 3, 2023
PAYMENT INTEGRITY
eBook: The payment integrity playbook for success in 2023 and beyondJordan Bazinsky
Jan 17, 2023
PAYMENT INTEGRITY
3 key tips for managing your payment integrity portfolioJordan Bazinsky
Oct 24, 2022
PAYMENT INTEGRITY
Video: How to shorten time to payment integrity resultsMatthew Hawley
Aug 3, 2022
PAYMENT INTEGRITY
3 key elements of a successful employment verification processNaomi Murphy
Jun 15, 2022
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
White paper: Detecting and preventing FWA in behavioral health claimsErin Rutzler
Jun 1, 2022
PAYMENT INTEGRITY
eBook: The payment integrity leader’s playbook for success in 2022 and beyondBrett Arnold
May 26, 2022
PAYMENT INTEGRITY
Section 340B overview: Medicare, Medicaid, covered entities, and moreKristie Ressler, D.O.
May 3, 2022
PAYMENT INTEGRITY
Specialty drugs: Why go beyond prior authorization?Jonathan Starr, PharmD
Mar 23, 2022
PAYMENT INTEGRITY
On-demand webinar: Beyond prior authorization: Ensuring accuracy of specialty drug claimsJonathan Starr, PharmD
Mar 2, 2022
PAYMENT INTEGRITY
3 reasons retrospective solutions are a vital part of claims payment integritySusan Murray
Nov 3, 2021
PAYMENT INTEGRITY
Execute healthcare claims editing more accurately—with less provider abrasionMatthew Hawley
Sep 22, 2021
PAYMENT INTEGRITY
On-demand panel webinar: Right payment integrity intervention, right timeMichael Jablon
Aug 31, 2021
PAYMENT INTEGRITY
Podcast: Cotiviti CEO Emad Rizk, M.D. on payment integrity and interoperabilityJeff Robinson
Aug 4, 2021
PAYMENT INTEGRITY
The right payment solution at the right time: 3 takeaways from Cotiviti’s new researchJordan Bazinsky
Jul 8, 2021
PAYMENT INTEGRITY
On-demand webinar: Integrating pre and postpay programs for optimal FWA resultsErin Rutzler
May 19, 2021
PAYMENT INTEGRITY
Keeping members in mind: Optimizing coordination of benefitsNaomi Murphy
Mar 23, 2021
PAYMENT INTEGRITY
Podcast: Dr. Emad Rizk on managing telehealth concerns amid COVID-19Tom Betar
Nov 24, 2020
COVID-19
PAYMENT INTEGRITY
Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemicErin Rutzler
Oct 27, 2020
COVID-19
PAYMENT INTEGRITY
Q&A: Highmark's payment integrity director on new COVID-19 claim trendsMichael Jablon
Aug 17, 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
COVID-19
PAYMENT INTEGRITY
Video: Preventing healthcare fraud, waste, and abuse before paying claimsErin Rutzler
Jun 24, 2020
PAYMENT INTEGRITY
Webinar: Achieving payment integrity success amid COVID-19Michelle DeNetto, M.D.
Jun 11, 2020
COVID-19
PAYMENT INTEGRITY
Coronavirus FWA: What health plans need to knowErin Rutzler
Mar 23, 2020
PAYMENT INTEGRITY
Webinar: Leading the way forward in payment accuracyWarren Lesnefsky
Jan 23, 2020
PAYMENT INTEGRITY
Case study: How to build a strong healthcare fraud case leading to convictionMark Starinsky, AHFI, CFE, CHC
Jan 16, 2020
PAYMENT INTEGRITY
Podcast: The keys to successful claim overpayment recoveryJeff Robinson
Dec 9, 2019
PAYMENT INTEGRITY
Dr. Emad Rizk: 3 tips for moving from retrospective to prospective payment integrityJeff Robinson
Nov 18, 2019
PAYMENT INTEGRITY
Busted: the top 10 healthcare fraud schemes of Q3 2019Warren Lesnefsky
Oct 7, 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
PAYMENT INTEGRITY
Podcast: validating clinical claims without medical record reviewJeff Robinson
Mar 22, 2019
PAYMENT INTEGRITY
Busted: rounding up the top fraud schemes of Q3-Q4 2018Warren Lesnefsky
Jan 10, 2019
PAYMENT INTEGRITY
Podcast: How clinical validation is good for payers, providers, and patientsJeff Robinson
Sep 27, 2018