In 2022, Cotiviti delivered >$8 billion in medical cost savings to our payment integrity customers by improving claims payment accuracy. For one plan alone, this amounted to more than $100 million in inappropriate claims avoided.

In our eBook, we offer insight into how you can develop a solid foundation in 2023 for holistic payment success across your critical programs by:

• Following best practices when deploying a prepay claim editing solution
• Strategically using postpay data mining for the most complex claims
• Going beyond prior authorizations for specialty drug claims
• Designing a holistic COB process that considers the entire member experience
• Staying vigilant against the latest fraud, waste, and abuse schemes

Deploying the programs, solutions, and strategies outlined in our eBook can help increase savings, improve provider relations, and decrease your administrative burden.

Start the conversation with Cotiviti

Interested in a deeper dive with our payment integrity experts? Email us at answers@cotiviti.com.

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