Cotiviti

Cotiviti Chief Technology Officer Suvajit Gupta discusses in Healthcare IT Today how healthcare organizations that lack foundational investments in AI often struggle to create suitable datasets and integrate AI-driven insights with legacy systems. In addition, they often face challenges due to insufficient resources for establishing, monitoring, and updating necessary governance mechanisms. Discover how a trusted partner can help health plans effectively implement AI without replacing human expertise and decision-making. https://bit.ly/4kMqbb6

Keep up with Cotiviti's latest webinars, white papers, case studies, blogs, and more. Subscribing to our healthcare content keeps you up to date on the constantly changing world of: ?? Payment integrity ?? Risk adjustment ?? Quality improvement ?? Member engagement Stay informed on what matters most to healthcare payers. https://bit.ly/4iySTeb

For our #Job of the Week, we are highlighting a Business Development Representative (#BDR) for our Retail Audit Services business, with the potential to expand into Healthcare solutions down the road. We are looking for someone with 2+ years software sales experience with a preference for candidates who have experience selling Retail Audit services. Check out the job posting for more details! #retailaudit #insidesales https://lnkd.in/eyCBMWaq

Medicare Advantage plans facing RADV audits must act decisively to protect against financial penalties. Establishing a dedicated audit response team, ensuring accurate medical record documentation, and leveraging AI-driven coding software are crucial steps. Streamlining medical record access and engaging providers early can also improve compliance and reduce administrative burdens. As RADV audits evolve, continuous preparation will be key to maintaining compliance and financial stability. Cotiviti's Katie Koester Sender shares more in Healthcare Business Today. https://bit.ly/4iDdLko

For Women’s History Month, we continue highlighting women whose groundbreaking contributions shaped their fields. Today, we honor Mary Whiton Calkins, a trailblazer in psychology and philosophy who fought for recognition in academia at a time when women were largely excluded. Calkins became the first female president of both the American Psychological Association (APA) and the American Philosophical Association, despite being denied a Ph.D. from Harvard simply because she was a woman. Her research on memory, self-psychology, and the philosophy of the mind laid critical foundations for modern psychology. Her perseverance in the face of systemic barriers is a testament to the resilience of women in academia. Calkins’ legacy is a reminder that talent and intellect know no gender—and that pushing boundaries creates paths for future generations. This Women’s History Month in partnership with Cotiviti’s Women’s Inclusiviti Network (WIN), we celebrate Mary Whiton Calkins and her enduring impact on psychology and philosophy. #WomensHistoryMonth #WomenInPsychology #BreakingBarriers

Cotiviti is proud to sponsor the 2025 NOPLG Annual Conference, coming May 2025! Join us to discover how our end-to-end COB Validation solution delivers value with prepay and postpay claim review. Get the details ?? https://lnkd.in/e3xPRnvS

As health plans face increasing regulatory demands, understanding the value of interoperability will help you reach success. Cotiviti's new eBook by Katie Devlin, DHSc, MS, CPHIMS, and Adam Gilbert offers a comprehensive look at navigating these shifts, optimizing data management, and investing in the proper infrastructure to drive better outcomes. With expert insights on emerging trends and key business impacts, you'll be able to build an effective interoperability strategy. https://bit.ly/3EFW8kA

A roundup of KFF health news includes new developments in COVID-19 research. It has transitioned into an endemic disease, with experts comparing its risks to those of influenza. Researchers are also uncovering links between COVID-19 and other health conditions, such as the reactivation of the Epstein-Barr virus in cases of multisystem inflammatory syndrome among children. https://bit.ly/3RfibSh

The pressure to manage healthcare costs effectively leads employers to expect more from third-party administrators (TPAs). Prepay integrity services are no longer optional for TPAs who want to stay competitive. A well-designed prepay integrity program protects against unnecessary spending and strengthens partnerships between TPAs and employers. Watch on YouTube as we explore key technical and clinical components necessary for payment integrity success. https://bit.ly/4af9mRk #HealthPlans #payments?

Humana’s CenterWell healthcare services division is expanding its reach in 2025 with 20-30 new centers in markets, including Augusta, Savannah, North Carolina’s Triad Region, and Wichita. This expansion aims to provide holistic, personalized care for seniors, especially those in underserved communities. https://bit.ly/4i4wi8I Fierce Healthcare