PIPulseSeries

Payment Integrity Pulse:
Inpatient claim review trends

Register for the webinar
March 26 at 1 pm ET

Register for the 2026 Payment Integrity Pulse webinar

Cotiviti’s 2026 Payment Integrity Pulse webinar series brings you timely insights and expert guidance on the trends, policies, and innovations shaping the future of payment integrity.

With inpatient costs projected to rise nearly 9% in 2026, payers must understand the trends driving this increase—and take a closer look at how prepay and postpay review processes can work together to protect plan and member dollars. Join us as we explore the latest inpatient claim trends seen across Cotiviti’s national dataset and share key recommendations for strengthening review strategies.

During this 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


Want updates? Select “Notify me about future webinars in this series” on the registration form to automatically receive reminders as new sessions are scheduled.

Presenters:

Amy Carleton

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

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.

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