Cotiviti’s upcoming webinar will showcase 360 Pattern Review, an advanced AI solution transforming FWA management. This tool improves detection accuracy and accelerates ROI through automation by merging Cotiviti’s Claim Pattern Review with the new FWA Pattern Review. Join us on December 12 to learn how 360 Pattern Review empowers your SIU to: 🔹 Deliver rapid ROI through automated detection. 🔹 Identify potential FWA earlier. 🔹 Eliminate wasted time spent on false-positive leads. 🔹 Boost staff productivity. Register here for December 12: https://hubs.ly/Q02YqKBg0 #FWA #healthcare #HealthPlans
Cotiviti
IT Services and IT Consulting
South Jordan, UT 142,965 followers
Enabling a high-quality and viable healthcare system
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
Get directions
10701 S River Front Pkwy, Unit 200
Unit 200
South Jordan, UT 84095, US
Employees at Cotiviti
Updates
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Recent changes in Medicare Advantage Star Ratings have insurers re-evaluating strategy. With tighter cut points, only seven plans achieved the 5-star rating this year, down from 38. https://bit.ly/4f4oIK6 Healthcare Finance News #payments #HealthPlans
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As part of its mission to improve health equity, NCQA has made essential changes to race and ethnicity reporting for HEDIS MY 2025. Watch and subscribe to our YouTube channel as Cotiviti's Samantha Davis explains more. https://bit.ly/483o10V #Healthcare #HEDIS #HealthPlans
Breaking down the HEDIS MY 2025 Technical Specifications from NCQA
https://www.youtube.com/
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Cotiviti's Matthew Hawley shares insights on how health plans can reduce inappropriate payments and optimize resources by leveraging artificial intelligence through advanced analytics, predictive models, and natural language processing. Effective governance and collaboration with external partners are vital to achieving these results while mitigating risks like data bias and system integration challenges. https://bit.ly/4140LhU Answers Media Network #HealthPlans #AI #payments
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Rising costs and lower star ratings are reshaping the Medicare Advantage landscape. In response to CMS’s regulatory updates, major insurers have scaled back popular benefits, raised out-of-pocket limits, and reduced the number of plans. https://bit.ly/3UtIbvj Healthcare Dive Centers for Medicare & Medicaid Services #HealthPlans #payment
Insurer lobby blames government policies for 2025 Medicare Advantage market makeup
healthcaredive.com
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Podcast: How has the interoperability landscape changed for payers over the past year, and what investments should they be making in 2025? Cotiviti's Katie Devlin, DHSc, MS, CPHIMS and Adam Gilbert join RISE Radio for a deep dive. 🎧▶️
Podcast: Driving lasting impact through interoperability
Cotiviti on LinkedIn
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CAHPS surveys play a crucial role in improving Medicare Advantage Star Ratings. These surveys focus on patient care experiences, such as communication and access to services. Cotiviti's Thelma Belli, Star Ratings analyst, breaks down how CAHPS scores impact ratings and offers strategies for MA plans to improve their outcomes. https://bit.ly/3UM43lY RISE #StarRatings #HealthPlans
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A recent survey found that employers' three biggest cost concerns are prescription drugs, high-cost claims, and hospital prices. The National Alliance of Healthcare Purchaser Coalitions survey found that the average premium in fully insured plans was $8,435 for individuals and $23,968 for family coverage. https://bit.ly/3YHsaVe Fierce Healthcare #HealthPlans #payments
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Thank you to our Cotiviti Australia colleagues for this wonderful collaboration in support of our clients!
Collaborating Across Continents! 🌎 For the past few weeks, we had the pleasure of welcoming Kristie Ressler, DO and Wing Leung to our Sydney office for exciting workshops with our Analytics team, focusing on new rule development for PPM. Through daily collaboration and in-depth analysis, several innovative rules were validated and are now expected to be developed! This productive exchange not only highlighted the synergy between our AU and US teams but also underscored the power of knowledge-sharing across markets. Leveraging the Australian Analytics team's expertise in AI and ML modelling, we explored new opportunities to enhance our products and deliver greater value. While the next phase of rule ideation will happen remotely, we’re excited to continue building on new rule development together! #Teamwork #Healthcare #Innovation #AI #Analytics #GlobalCollaboration #RuleIdeation
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