Our latest healthcare insights and perspectives
PAYMENT INTEGRITY
Webinar: Deploying AI effectively and responsibly in payment integrityBrett Arnold
Sep 17, 2025
PAYMENT INTEGRITY
Two key claim trends and their impact on payment integrityJonathan Edwards
Jul 30, 2025
PAYMENT INTEGRITY
Case study: Prepay COB boosts payment integrity results for large national payerEvan Okulanis
Jul 10, 2025
PAYMENT INTEGRITY
Webinar: Billing and policy trends impacting your payment integrity programJonathan Edwards
Jun 18, 2025
PAYMENT INTEGRITY
Case studies: Performing beyond expectations in payment integrityKevin Laskey
May 29, 2025
PAYMENT INTEGRITY
Payment integrity: Unlocking the value of complex outpatient reviewsAmy Carleton, RN, BSN
May 7, 2025
PAYMENT INTEGRITY
Webinar: Confronting payment integrity challenges in 2025Warren Lesnefsky
Mar 13, 2025
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
Webinar: Provider billing accuracy and payment trendsJonathan Edwards
Jun 19, 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 savingsSteven M. Canfield, D.D.S.
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
PAYMENT INTEGRITY
Get more bang for your buck with claim editing analyticsJonathan Edwards
Jan 17, 2018