FWA Insights: Durable medical equipment

Discover how prepay FWA review helps prevent high-cost DME overpayments through proactive analytics and provider education.

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Unlock greater value with complex outpatient reviews

Discover how high-precision outpatient reviews can and reduce inappropriate spending.

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Coordination of benefits that performs beyond expectations

Discover how one large national payer deployed Cotiviti’s prepay "pause-and-review" approach to coordination of benefits for better results.

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Everest Group names Cotiviti the highest-designated Leader in Payment Integrity

Read the Payment Integrity Solutions PEAK Matrix® Assessment 2025 report.

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Cotiviti joins Responsible AI Institute

Learn how Cotiviti is committed to deploying AI responsibly to enable our human specialists to improve performance for our clients.

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Cotiviti completes acquisition of Edifecs

Learn how the newly combined organization will drive advancements in data analytics, interoperability, and beyond.

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The shift to digital quality measurement

Learn what payers need to know and how to prepare for the transition to digital quality measures and more.

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Perform Beyond Expectations with Cotiviti

It's hard for health plans to find a true partner—one that delivers unmatched service, technology, and results. Partner with Cotiviti and perform beyond expectations in 2025.

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Cotiviti launches Engagement Hub solution

Learn how we're empowering health plans to identify care gaps across quality measures and deploy targeted outreach more efficiently.

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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

Risk Adjustment

Help ensure appropriate reimbursement through complete retrospective solutions

Quality and Stars

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

Engagement

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

Retail

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

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How can I:

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?