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PAYMENT INTEGRITY: WHAT THE SELF-INSURANCE INDUSTRY NEEDS TO KNOW

Learn how TPAs can work with their self-funded employer clients to implement
effective payment integrity solutions.

Read the white paper


JOIN COTIVITI AT THE 2024 NCQA HEALTH INNOVATION SUMMIT

Visit us at booth #403 and pick up your on-the-go travel kit.

Learn more


ENABLING A HIGH-QUALITY AND VIABLE HEALTHCARE SYSTEM

Cotiviti improves healthcare through advanced technology, data analytics, and
specialized expertise. Learn why we’re a partner of the top 25 health plans.

About us


COTIVITI NAMED 2024 BEST IN KLAS® FOR QUALITY

Learn why Quality Intelligence has earned Best in KLAS honors for payer quality
measurement and reporting.

Read the press release



LET US SHOW YOU HOW OUR SOLUTIONS BRING DIFFERENTIATED VALUE TO THE HEALTHCARE
ECOSYSTEM

PAYMENT ACCURACY

Unlock previously unrealized medical and administrative cost savings along the
entire payment lifecycle

Learn more

RISK ADJUSTMENT

Help ensure appropriate reimbursement through complete retrospective solutions

Learn more

QUALITY AND PERFORMANCE

Analyze, communicate, and improve your financial and clinical performance based
on trusted, proven analytics

Learn more

CONSUMER ENGAGEMENT

Drive action and improve health outcomes through tailored multi-channel outreach

Learn more

RETAIL

Find the value hiding in your data to support supplier audit reviews, contract
compliance, and overpayment recoveries

Learn more

View all solutions

Gain insight and perspective from Cotiviti’s experts with our latest thought
leadership and solution information.


 * 3 TAKEAWAYS FOR MEDICARE ADVANTAGE PLANS FROM THE 2025 STAR RATINGS
   
   Read Article

 * 30:53
   
   
   DECODING THE 2025 STAR RATINGS
   
   Watch Webinar


 * HIGHMARK WHOLECARE PREVENTS FWA WITH CLAIM PATTERN REVIEW
   
   Read Case Study

 * 33:22
   
   
   CODING DEEP DIVE: BEST PRACTICES TO IMPROVE ACCURACY
   
   Watch Webinar


 * PROACTIVE MEMBER ENGAGEMENT STRATEGIES TO CLOSE GAPS IN MEDICARE ADVANTAGE
   
   Read Article

 * 56:15
   
   
   PROGRAM INTEGRITY PULSE: LESSONS LEARNED FROM A SUCCESSFUL PREPAY FWA PROGRAM
   
   Watch Webinar


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Pay claims accurately and protect payment integrity? Optimize HEDIS and Star
Ratings outcomes? Improve risk score accuracy and reimbursement? Drive member
action and improve health outcomes?