How is Cotiviti empowering health plans to navigate new frontiers in risk adjustment? Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) featuring Katie Koester Sender. ▶️ Stay tuned as our video series continues next week with a look at payment integrity!
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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Watch our FWA webinar to explore critical aspects of tackling fraud, waste, and abuse (FWA). It will help you uncover why investigative sequencing and intervention mechanisms are critical to driving positive behavior change. Discover real-world case studies showcasing successful FWA prevention strategies. Subscribe to our YouTube channel for more. https://lnkd.in/gZcGDhws #FWA #HealthPlans #fraud
Sequencing healthcare fraud, waste, and abuse investigations for greater provider impact
https://www.youtube.com/
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The number of Americans receiving mental health treatment increased from 18.5% to more than 23% between 2019 and 2021. Health leaders need to be aware of the new reality: Bad actors are targeting virtual behavioral health services. Here's what to look for in fraudulent billing and coding. https://bit.ly/3XHITrl MedCity News #FWA #MentalHealth #HealthPlans
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Join Cotiviti's experts, Christopher Ellsworth and Evan Okulanis, as they discuss the importance of comprehensive Coordination of Benefits programs in maximizing the value of health plans. You'll learn: 🔹 The importance of having a comprehensive approach to Coordination of Benefits (COB) programs for health plans, navigating challenges, and maximizing value 🔹 Contrasting member-based versus claims-based strategies and the limitations of relying solely on member eligibility data 🔹 Strategies for optimizing COB programs, leveraging internal teams, CAQH data, and the expertise of full-service COB vendors to ensure efficiency and savings https://bit.ly/3x4Frft #payments #HealthPlans #COB
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The Improving Seniors’ Timely Access to Care Act seeks to modernize the prior authorization process for Medicare Advantage plans. This legislation eliminates long delays and unfair denials by standardizing the process and mandating greater transparency. https://bit.ly/3RvVgmd Fierce Healthcare #healthcare #HealthPlans
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Small Medicare Advantage plans face unique hurdles in maintaining competitive Star Ratings. Writing for Healthcare Business Today, Cotiviti's Marge Ciancetta offers strategies such as: 🔹 Use data to determine where to focus limited resources 🔹 Track members with social risk factors (SRF) 🔹 Keep an eye on future measures of significance 🔹 Don't view measures in a vacuum 🔹 Provide excellent care, customer service, and support https://bit.ly/4dmTDkn' Healthcare Business Today #HealthPlans #healthcare #payments
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The latest projections from the CMS Office of the Actuary highlight the pressing need for sustainable solutions to address the nation's escalating healthcare costs. With healthcare spending expected to reach $4.8 trillion in 2023, outpacing broader economic growth for the first time since the COVID-19 pandemic, the strain on the nation's resources is becoming increasingly apparent. https://bit.ly/3RucfFu Healthcare Dive Centers for Medicare & Medicaid Services #HealthPlans #healthcare
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Payers are looking to address unfavorable medical loss ratios with a robust coordination of benefits (COB) program—while keeping member satisfaction at the forefront. Read the latest Cotiviti checklist for actionable steps to improve COB results in 2024 and beyond. https://bit.ly/3RT4Ek3 #healthcare #HealthPlans #payments
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In our YouTube webinar, "Rising Stars: Optimizing MA Star Ratings with Star Intelligence," Cotiviti experts walk through how to prepare for upcoming CMS program changes and improve Star Ratings. Subscribe to our YouTube channel for more quality improvement insights. https://lnkd.in/g8Uzyjs9 #HealthPlans #healthcare
Rising Stars: Optimizing Medicare Advantage Star Ratings with Star Intelligence
https://www.youtube.com/