Case study: Highmark Wholecare prevents FWA with Claim Pattern Review

Fraud, waste, and abuse (FWA) requires a robust payment integrity program. From compliance requirements and coding…

Busted: The top fraud schemes of Q3 2024

As we approach the end of 2024, fraud, waste, and abuse (FWA) continue to be sign­­­­ificant…

Realizing the evolution of FWA prevention and management

As healthcare fraud, waste, and abuse (FWA) schemes continue to evolve, the tactics deployed by health…

Podcast: Driving lasting impact through interoperability

Key updates in 2024 are driving new investments in healthcare interoperability to improve operations and patient…

Case study: Benefits administrator achieves millions in payment integrity value

Self-funded health plans, which include 63% of covered workers in the United States, grapple with cost…

Webinar: Advancing beyond traditional FWA lead detection

As healthcare fraud, waste, and abuse (FWA) schemes continue to evolve, legacy fraud detection systems often…

White Paper: Enhancing dental payment accuracy to combat FWA

In the realm of dental care, financial losses due to fraud, waste, and abuse (FWA) present…

Best of 2024: Explore Cotiviti’s top content from last year

As 2025 begins, payers are navigating critical opportunities to innovate and excel in healthcare operations. From…

The 2026 CMS Advance Notice: 3 key takeaways

Released earlier than in years past, the 2026 Centers for Medicare & Medicaid Services (CMS) Medicare…

6 key capabilities to advance beyond traditional FWA lead detection

Fraud, waste, and abuse (FWA) in healthcare cost the industry billions each year, diverting resources from…