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Accept Privacy Settings DismissToggle menubar Home Toggle submenu for: Topic Payment Integrity Fraud, Waste, and Abuse Quality Measurement and Reporting Medicare and Commercial Risk Adjustment Member Engagement Toggle submenu for: Cotiviti's Solutions Payment Accuracy Risk Adjustment Quality and Stars Performance Analytics Consumer Engagement Case Studies White Papers Webinars Request a Demo Open search box Search sitewidebox Recent Searches Share this Stream Share this Stream Share on facebook Share on twitter Share on linkedin Share on email Our latest healthcare payer resources Improve your payment, risk, quality, and member engagement outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles. 49:58 Webinar: The "Total Value" approach to payment integrity Watch our on-demand webinar and learn how to realize long-term value from your payment integrity program with a differentiated service model and integrated solution breadth. Watch Webinar Quality Decoded%%Register for our year-long webinar series Register Now How payers can execute high-performing interoperability programs to enable clinical data Learn the key steps, options available, and recommendations for payers to optimize their interoperability programs. Read White Paper 29:04 Examining the 2025 CMS Final Rule Cotiviti's Star Ratings experts review the 2025 CMS Final Rate Announcement from a quality improvement perspective. Watch Webinar 3 key risk adjustment strategies to drive success in 2024 Cotiviti examines three strategies to improve risk adjustment outcomes for Medicare Advantage plans in 2024 and beyond. Read Article Total Value eBook: How to build a better payment integrity program Discover how your health plan can create a more valuable payment integrity program and drive down medical loss by reducing improper medical costs. Read eBook Loading, please wait Error - something went wrong! Subscribe to our blog for healthcare payer insights Email Submit Close form to hide form fields Thanks for subscribing! Unlocking valuable SDoH data and connecting members to care with Eliza secure digital outreach Learn how one large regional health plan reached 90% of its targeted members with multi-channel outreach. Read Case Study Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting Learn More Podcast: The "Total Value" approach to payment integrity Cotiviti's Matthew Hawley, EVP of payment integrity operations, leads a conversation on the dimensions of payment integrity value that go beyond medical cost savings. Listen to Podcast Visit our YouTube channel%%Subscribe for our latest webinars and more Visit now 28:20 Breaking down NCQA public comment for HEDIS MY 2025 Watch our brief on-demand webinar as we review proposed HEDIS updates for MY 2025. Watch Webinar 54:48 Key risk adjustment trends to watch in 2024 and beyond Watch our on-demand webinar as we explore strategies to leverage digital data effectively and enhance your risk adjustment efforts in 2024. Watch Webinar NCQA releases proposed HEDIS MY 2025 updates Read our detailed breakdown of the HEDIS program changes the National Committee for Quality Assurance (NCQA) has proposed for Measurement Year (MY) 2025. Read Article Talk with an expert %% Learn more about how our solutions can help you meet your goals Contact us 33:05 Reviewing the 2025 CMS Advance Notice Get an in-depth analysis of proposed changes to the CMS Star Ratings program from our on-demand webinar. Watch Webinar 3 interoperability updates for payers in 2024 Cotiviti breaks down three key updates for payers to track as TEFCA comes to life in 2024. Read Article 3 takeaways from the 2025 Advance Notice Learn how the 2025 CMS Advance Notice will impact Medicare Advantage risk adjustment and Star Ratings. Read Article Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement Read the eBook Busted: The top fraud schemes of Q4 2023 Some of the top alleged cases of healthcare fraud in Q4 2023 included falsified claims and exploitation of healthcare programs for Native Americans. Read Article FWA Insights: Examining a suspicious volume of HCPCS codes Learn how overuse of HCPCS H2014 and HCPCS T1017 led to an FWA investigation by Cotiviti’s SIU. Read Article Preparing for 2024 trends in healthcare FWA: CPT code updates and beyond Learn about critical updates to the 2024 CPT code set and other trends impacting healthcare payments. Read Article Medicare Advantage plan reduces inappropriate payments by millions with Claim Pattern Review Learn how one Medicare Advantage plan prevented more than $1 million inappropriate payments in less than a year with Claim Pattern Review. Read Case Study Avoid payment errors and increase savings with these resources Learn how Close more care gaps for your members in 2024 In this new and comprehensive eBook, we explore 12 key focus areas for improving member care and quality scores with better messaging, collaboration, and prevention. Read eBook Finding new opportunities to improve payment integrity with inpatient claim review Learn how to reduce the burden of research and recovery for inpatient claims with a tailored pre and postpay approach. Read White Paper 1:02:10 Program Integrity Pulse: Preparing for investigative FWA strategies in 2024 Learn about 2024 CPT code updates that may increase the potential for FWA as well as other anticipated trends. Watch Webinar Loading More... See more © 2024 Cotiviti, Inc. All rights reserved. All proprietary information shall remain the sole and exclusive property of Cotiviti,...