Health plans increasingly rely on prepay fraud, waste, and abuse (FWA) programs to improve payment integrity, but challenges remain. Join our webinar featuring Highmark Wholecare and Cotiviti experts this Thursday at 1:00 pm ET. You'll learn how to launch an effective prepay FWA program, prevent improper claims, and seamlessly refer fraud leads to SIUs. https://hubs.ly/Q02Pk53Q0 #FWA #HealthPlans #fraud
About us
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, consumer engagement, and network performance management programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.
- Website
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http://www.cotiviti.com
External link for Cotiviti
- Industry
- IT Services and IT Consulting
- Company size
- 5,001-10,000 employees
- Headquarters
- South Jordan, UT
- Type
- Public Company
- Specialties
- Analytics, Payment Integrity, Payer Liability, Payment Accuracy, Clinical Appropriateness, Coding Compliance, Contract Compliance, Procure-to-Pay, Supplier Audit, Overpayment Recovery, Healthcare, Retail, Pay-for-Value, HEDIS, Risk Adjustment, and Provider Network Performance
Locations
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Primary
10701 S River Front Pkwy, Unit 200
Unit 200
South Jordan, UT 84095, US
Employees at Cotiviti
Updates
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This Hispanic Heritage Month, we are celebrating Ellen Ochoa, an innovative engineer, astronaut, and the first Hispanic woman to go to space. As the former director of NASA’s Johnson Space Center, Ochoa has made invaluable contributions to the advancement of science and space exploration. Her legacy inspires countless people to reach for the stars—literally and figuratively.
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Skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) claims carry significant financial risk due to their complexity. These claims require specialized expertise to ensure accurate documentation, coding, and compliance with health plan policies. Without the proper oversight, plans can face lost costs from overpayments. In our blog, Cotiviti's Amy Palilonis Carleton explains how adding expert review to these claims can result in substantial cost recovery and improved accuracy. https://bit.ly/47DSHW6 #HealthPlans #payments #healthcare
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The No Surprises Act continues to face challenges as providers report significant issues with insurers, including delayed reimbursements and contract terminations. A recent survey finds that many providers must enter independent dispute resolution requests due to insurers' failure to comply with payment determinations. https://bit.ly/3MquBUX Healthcare Dive #payments #HealthPlans
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Cotiviti's experts reflect on the HEDIS Measurement Year (MY) 2023 outcomes and review how to prepare for MY 2024. Learn as we unpack the past year's results and delve into: 🔹 In-depth analysis of the outcomes of MY 2023 🔹 Strategies to effectively prepare for MY 2024 🔹 Actionable insights to set the stage for a successful journey into the next HEDIS cycle. Watch and subscribe on YouTube: https://bit.ly/4g4Byso Branka Sustic Samantha Davis Jamison Gillitzer #HealthPlans #HEDIS
Wrapping up the end of the HEDIS MY 2023 season
https://www.youtube.com/
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Five Cotiviti volunteers recently joined forces to lend support at The Charlie Center, a nonprofit serving those experiencing homelessness in Austin, Texas. Since 2021, they have supported more than 150 people with housing placement. The Charlie Center provides a myriad of services, including acquiring identification, recovering lost vital records, basic medical care, housing consultations, receiving mail and deliveries, assistance with SNAP benefits, bus passes, personal case management, disability benefits for veterans, legal aid, and more. Our #CotivitiCares volunteers, including Brett Arnold, Tracey Bradberry, Rosemary Alaniz, Troy Vera, and Tiffany DeVilbiss, helped welcome and feed more than 90 people. We are grateful to The Charlie Center for this opportunity to give back to the community and look forward to joining you again soon! Visit their website for more information about this impactful charity: https://lnkd.in/egspmKm5
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Accurate medical record coding is more important than ever as risk adjustment faces increasing regulatory scrutiny. To help health plans navigate these changes, Cotiviti is hosting a RISE webinar on Thursday, October 17 at 1:30 pm ET. Don't miss our in-depth review of critical coding areas and strategies to enhance training and QA processes. https://bit.ly/4gx626I #healthcare #HealthPlans #payments
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A recent report highlights ongoing challenges in maternal health, particularly for Black mothers who experience severe maternal morbidity at twice the rate of white mothers. The data also shows alarming disparities in infant mortality, with rates nearly three times higher among Black infants compared to Asian infants. https://bit.ly/3X60JCk Healthcare Finance News #HealthPlans #payments
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The uninsured rate in the U.S. climbed to 8.2% in the first quarter of 2024, up from the record-low 7.7% seen in the same period last year. The increase comes as Medicaid unwinding continues, with approximately 14.8 million individuals losing coverage. https://bit.ly/472FR3z HealthLeaders #HealthPlans #payments
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In our latest LinkedIn newsletter, Cotiviti Senior Investigator Nicole (Nikki) Brody explains what you'll learn in our next #FWA webinar this Thursday 9/26 as we're joined by Highmark Wholecare for a look at how to successfully prevent healthcare fraud, waste, and abuse. Get the details and register ⬇️
Webinar: Lessons learned from a successful prepay FWA program
Cotiviti on LinkedIn