Cotiviti
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Highlights from Cotiviti Annual Day 2024
Our recent Cotiviti Annual Day was a vibrant and joyous celebration, hosted once a year to bring the entire organization together and celebrate our collective successes. The event was held across all three of our locations in India-Pune, Hyderabad, and Coimbatore-providing an opportunity for employees to connect, bond, and create lasting memories.
The day was filled with incredible cultural performances by our talented employees, seamlessly hosted by our charismatic emcee, and supported by an enthusiastic team of volunteers working tirelessly behind the scenes. Members of our senior leadership team also traveled to join the celebrations.
Here's to continuing this wonderful tradition and celebrating more successes together!
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วีดีโอ

The fundamentals of payment integrity for TPAs
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As healthcare costs, membership numbers, and utilization continue to rise, the pressure and demand for employers to have visibility into payment integrity measures implemented by their third-party administrator (TPA) is growing rapidly. In fact, TPAs that don’t offer prepay integrity services risk losing a competitive advantage. Watch our on-demand webinar as we break down: -Best practices in p...
Realizing the evolution of fraud, waste, and abuse prevention and management
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Cotiviti's Erin Rutzler, vice president of fraud, waste, and abuse (FWA), explains how Cotiviti is delivering better FWA prevention and management with our brand-new solution, 360 Pattern Review. Learn how the solution empowers health plans to: -Achieve rapid ROI through automated detection while meeting prompt-pay laws -Identify potential fraud cases earlier with a 360-degree view of provider ...
Join the evolution with Cotiviti's 360 Pattern Review
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Cotiviti, a leader in data-driven healthcare solutions, is launching 360 Pattern Review, a powerful, fully managed service that combines prepay fraud, waste, and abuse (FWA) prevention with postpay review for true FWA prevention and management across the entire claim payment cycle.
Decoding the 2025 CMS Star Ratings
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The 2025 Star Ratings, released in early October 2024, are already having a dramatic impact on the industry as multiple major payers are reporting a significant decline-putting billions of dollars in quality bonus payments at stake. Watch our on-demand webinar as we cover: -Key highlights from the 2025 Star Ratings: Understand the major takeaways from this year’s ratings and how they impact Med...
Engaging with members at the end of the year
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With the end of 2024 fast approaching, the final push to close member care gaps has started. The Annual Election Period (AEP) for Medicare Advantage (MA) plans begins in October, with preparations to retain and enroll new members as the Annual Notice of Change (ANOC) informs them of cost and coverage adjustments. Now is the time for plans to revisit their member engagement strategies to help en...
Breaking down the HEDIS MY 2025 Technical Specifications from NCQA
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Keeping up with the complexities of evolving HEDIS® reporting requirements can be difficult. Cotiviti’s Quality and Stars team is here to review the latest measure specifications and provide your team with guidance to address the annual publication of confirmed measure updates for HEDIS Measurement Year (MY) 2025. Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in t...
Introducing Cotiviti Prosperiti
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In May 2024, Cotiviti team members around the globe gathered for the launch of Cotiviti Prosperiti, our new broad-based ownership program enabling all employees to share in the success as our organization grows and thrives. Now, watch our launch video to share in the excitement of this announcement and hear from our senior leaders and other colleagues about what Cotiviti Prosperiti means to them.
Interoperability in 2024: What health plans need to know
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Cotiviti's Katie Devlin, DHSc, MS, CPHIMS, vice president of interoperability, breaks down the definition of interoperability, challenges to data sharing, and the benefits of finding an interoperability partner to accelerate payer programs. 00:00 Understanding interoperability 2:36 Interoperability challenges for payers 3:30 Barriers to data sharing 5:05 Data use agreements (DUA) 7:54 Evolving ...
Navigating new frontiers in interoperability
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The growing demand for data sharing between payers and providers requires a commitment to interoperability and being well-versed in constantly evolving regulations and protocols. Effectively navigating these new frontiers requires a partner that is committed to greater value, innovation, and partnership. Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) as we explain how C...
Payment Integrity Insights Podcast - Deploying AI in payment integrity responsibly
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Artificial intelligence (AI) and machine learning can help payment integrity programs achieve higher levels of value. But these technologies are not quick fixes and require proper planning and governance. Payers need to ensure that AI and machine learning are used in a way that supports their objectives and principles while improving member and provider satisfaction, not decreasing it. On the s...
Payment Integrity Insights Podcast - Artificial intelligence in payment integrity
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As health plans look to artificial intelligence (AI) and machine learning to improve their operations and payment integrity programs, they must understand how it can be practically applied. But payers also want to be reassured the technology will be adopted appropriately and responsibly-and won’t increase provider abrasion. On the fifth episode of Cotiviti’s Payment Integrity Insights podcast, ...
Navigating new frontiers in member engagement
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As Medicaid redetermination continues and health inequities persist, personalized, technology-driven strategies are enabling health plans to transform member engagement in the healthcare landscape. To effectively navigate these new frontiers in healthcare requires a partner that is committed to greater value, innovation, and partnership. Watch our recent video from the 2024 Cotiviti Client Conf...
Wrapping up the end of the HEDIS MY 2023 season
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With the HEDIS Measurement Year (MY) 2023 season recently concluded, it’s crucial to reflect on the outcomes and strategically prepare for MY 2024. Stay ahead of the curve and ensure your team is ready by viewing Cotiviti’s on-demand webinar. Join us as we unpack the results of the past year and provide valuable strategies to effectively prepare for MY 2024. Our webinar offers: -In-depth analys...
Navigating new frontiers in payment integrity and FWA
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Navigating new frontiers in payment integrity and FWA
Navigating new frontiers in risk adjustment
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Navigating new frontiers in risk adjustment
Navigating new frontiers in quality improvement
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Navigating new frontiers in quality improvement
Payment Integrity Insights Podcast - How to build a valuable coordination of benefits COB program
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Payment Integrity Insights Podcast - How to build a valuable coordination of benefits COB program
Webinar: The "Total Value" approach to payment integrity
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Webinar: The "Total Value" approach to payment integrity
Examining the 2025 CMS Final Rule
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Examining the 2025 CMS Final Rule
Payment Integrity Insights Podcast - The "Total Value" approach to payment integrity
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Payment Integrity Insights Podcast - The "Total Value" approach to payment integrity
Breaking down the NCQA 2024 HEDIS public comment period
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Breaking down the NCQA 2024 HEDIS public comment period
Tips to improve risk adjustment coding quality in 2024
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Tips to improve risk adjustment coding quality in 2024
Reviewing the 2025 CMS Advance Notice
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Reviewing the 2025 CMS Advance Notice
Preparing for investigative healthcare fraud, waste, and abuse strategies in 2024
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Preparing for investigative healthcare fraud, waste, and abuse strategies in 2024
Progress report on Medicaid redetermination
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Progress report on Medicaid redetermination
Reflecting on the 2024 Star Ratings
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Reflecting on the 2024 Star Ratings
Program Integrity Pulse: A Claim Pattern Review case study
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Program Integrity Pulse: A Claim Pattern Review case study
Catching potential drug testing fraud: A case study of successful investigative techniques
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Catching potential drug testing fraud: A case study of successful investigative techniques
Why did Medicare Advantage plans perform worse in the 2024 Star Ratings?
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Why did Medicare Advantage plans perform worse in the 2024 Star Ratings?