Inpatient claim review insights to strengthen your 2026 strategy

Watch the on-demand webinar now

Growing inpatient costs continue to challenge payment integrity teams, with medical cost inflation projected to rise nearly 9% this year. To protect your organization from avoidable improper spend, it’s critical to understand the shifting dynamics behind inpatient utilization, coding behavior, and prepay/postpay review effectiveness.

Watch our first 2026 Payment Integrity Pulse webinar on demand to hear Cotiviti experts break down the latest national inpatient trends and share where payers can realize meaningful impact across the review continuum.

In this on‑demand session, you’ll learn:

Key inpatient claim trends driving 2026 cost growth
How review processes must flex across prepay and postpay review types
Common admission types showing notable shifts, including sepsis
Case studies demonstrating significant overpayment identification
Where health plans can modernize inpatient review to reduce leakage

Looking ahead

The 2026 Payment Integrity Pulse series will continue throughout the year with sessions covering:

New and emerging payment integrity challenges
Trends in utilization, clinical coding, and billing behavior
Policy shifts and regulatory insights
Innovations in prepay and postpay program strategy

Presenters:

Amy Carleton, RN, BSN
Vice President, Clinical Chart Validation
Cotiviti

Amy focuses on long-term strategies that reduce total medical costs for inpatient services such as DRG, short stay, readmissions, skilled nursing facility (SNF), inpatient rehabilitation facility (IRF), and complex outpatient reviews. With more than 13 years of healthcare payment integrity experience and a robust clinical background in nursing, Amy drives product innovation by directing investments and developing new enhancements and audit types to better serve Cotiviti’s client base.

Jena Reilly
Senior Director, Product Management
Cotiviti

Jena drives the components of strategy and development for Cotiviti’s prospective payment integrity solutions. Prior to joining Cotiviti in 2011, she held a variety of roles building and managing complex review services, bringing a comprehensive understanding to the organization.