🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Join us for Interoperability Roadmap: Unlocking Business Value, a RISE webinar in partnership with Cotiviti, taking place June 17. Register Today: risehealth.org/events/interop…

The 2026 Payment Notice introduces major changes, including updates to coverage design and RADV audits. To remain compliant, Qualified Health Plans should reassess financial strategies, audit processes, and provider education efforts.👇 hubs.ly/Q03md8jf0

Discover Cotiviti’s prepay integrity solutions for Medicare Advantage and commercial lines of business. We deliver a holistic approach that applies the right interventions, ensuring claim accuracy, minimizing disputes, and reducing administrative burden. bit.ly/3XXNiWe

Suvajit Gupta, Chief Technology Officer at Cotiviti, shares insights on the importance of a trusted partner for healthcare organizations facing challenges in implementing AI due to lacking specific resources. bit.ly/4kMqbb6 via Healthcare IT Today

This Memorial Day, we honor all who have served and fallen, reflecting on the heroes who gave their lives to preserve the United States and remembering their loved ones left behind.

Writing for RISE, Cotiviti's Marge Ciancetta explains how Medicare Advantage plans must adapt quickly to regulatory changes. 🔽 bit.ly/44YIPH7

Reduce provider abrasion, avoid overpayments, and drive better results. Learn how a national payer exceeded expectations with the Cotiviti prepay COB Validation. ⬇ bit.ly/42IRQCV

Outpatient care continues to rise, yet many health plans apply outdated review processes. Expanding complex outpatient reviews identifies high-cost errors and drives significant payment accuracy gains. 👇 hubs.ly/Q03lx5ZN0

Did you know improper billing for skin substitutes and grafts is a common fraud, waste, and abuse (FWA) issue in healthcare, leading to significant financial losses? Learn how a proactive approach helped address FWA for one client. bit.ly/43NmhbT

Healthcare fraud schemes targeting seniors continued in Q1 2025. A $22M referral kickback operation exploited elderly immigrants and laundered illicit Medicare funds through family accounts. ⬇ bit.ly/44XFeJp

CMMI unveils its new approach: greater downside risk in payment models, focusing on preventing chronic disease and expected Medicare Advantage payment changes. bit.ly/3Hipg2F via Healthcare Dive

Health plans often face fragmented efforts across departments. Cotiviti helps bridge the gaps, delivering comprehensive solutions that drive better clinical and financial outcomes. bit.ly/3Q43Fw9

Payment integrity is increasingly complex, with ongoing code updates, new mandates, and rapid drug innovations. The Cotiviti 2025 Payment Integrity Pulse webinar series offers focused insights to stay ahead. Watch now on YouTube and subscribe! 🔽 bit.ly/3EwZMO5

Data-driven outreach, local partnerships, and personalized education are essential tools for closing care gaps for rural members and improving HEDIS and Medicare Star Ratings. Cotiviti 's Leah Dewey shares more insights in First Report Managed Care. 👇 bit.ly/43jdmNu

CMS has made changes to telemedicine guidelines. These could lead to coding errors. Stay ahead by understanding the unknown risks for FWA and how to enhance telehealth compliance. ⬇ bit.ly/3CPIif2

CMS will fully phase in the 2024 CMS-HCC risk adjustment model in CY 2026. All MA risk scores will be based on the updated model to improve accuracy.⬇ hubs.ly/Q03h_NZc0

For every $10B in payer revenue, AI could cut $150M–$300M in admin costs. Here's a solid case for digital transformation for healthcare payers: mck.co/3DWM5be via McKinsey & Company

For FY2026, CMS has proposed a 2.6% payment rate increase for inpatient rehabilitation facilities––translating to a projected $295 million boost in payments. bit.ly/4irlSzx Healthcare Finance

A recent Cotiviti FWA investigation shows the importance of combining claims data mining, internal audits, and provider education. Proactively identifying issues prevents costly overpayments in durable medical equipment (DME) billing.👇 bit.ly/4jTNVsN

CMS recently finalized a $0.20 PMPM user fee for the 2026 ACA risk adjustment. Learn how Qualified Health Plans must adjust financial planning and prepare for potential changes in premium tax credit subsidies. ⬇ hubs.ly/Q03md8jf0