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The Right Intervention at the Right Time: Moving beyond prepay vs. postpay

Event Date: 9/30/2021

Event Overview

Thursday, 9/30/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Cotiviti

This vendor spotlight is hosted on our BigMarker platform you must use Google Chrome or Firefox when participating in the webinar.

 

An enterprise payment integrity strategy is essential to effective claims processing, provider relations, and cost savings. Healthcare payers have begun an earnest transition from post-payment to prepayment methodologies. But to maximize payment integrity savings and reduce provider abrasion, payers must find the optimal balance for their business.

Attend our webinar Thursday, September 30, as Cotiviti payment integrity experts present findings from our recent survey of 100+ health plan leaders. Conducted in partnership with HealthPayerIntelligence, our research offers insight into how mid-size payers are streamlining payment integrity programs. 

Attendees will learn how to:

  • Manage an enterprise payment system across multiple stakeholders
  • Attack inappropriate payments depending on the claim type, area of concern, and typical claim lifecycle
  • Find the best intervention points in the payment integrity continuum to maximize value


Audience

Leaders with responsibility for their organization's claims management or enrollment efforts will. Additionally, those with informatics or IT responsibilities will find this webinar impactful.


About Cotiviti

Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, population health, and network performance management programs.


Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.


 

Documents
9/30/2021

Recording: The Right Intervention at the Right Time: Moving beyond prepay vs. postpay
Cotiviti leaders share how to strike the right balance for your business as Cotiviti payment integrity experts present findings from a recent survey of 100+ health plan leaders.

9/29/2021

Presentation: The Right Intervention at the Right Time: Moving beyond prepay vs. postpay
Cotiviti leaders share how to strike the right balance for your business as Cotiviti payment integrity experts present findings from a recent survey of 100+ health plan leaders.

9/29/2021

Research: Optimizing payment integrity with enterprise pre and postpayment solutions
In this brochure, Cotiviti surveyed 100+ health plan leaders to investigate the challenges their organizations are facing with balancing prospective and retrospective payment integrity programs

9/29/2021

Payment Accuracy Solutions
This brochure covers how Cotiviti's Payment Accuracy suite can identify previously unrealized medical and administrative cost savings for healthcare payers by providing solutions for every critical dimension along the claim payment lifecycle - from early payment policy management and clinical claim review to post-pay chart review and fraud pattern investigation. We help clients work more effectively across their payment accuracy silos by deploying the right approach at the right time, driven by a full-service model and the deepest industry expertise.

9/29/2021

Infographic: Steps to maximize payment integrity savings
Learn in this brochure the steps you can take to maximize savings by thoughtfully deploying Cotiviti's Payment Accuracy solutions. Successfully navigating a complex environment has never been more important for payers and their payment integrity programs. In these uncertain times, you need a partner who provides certainty: proven savings and predictable results through integrated pre- and post-payment accuracy solutions.

Attendees

Below is a list of all delegates registered to date for this event

  • Trisha Adams
  • ALLIANCE MEMBER
  • Director, Member Services at Physicians Health Plan
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Kathy Coslett
  • ALLIANCE MEMBER
  • SIU Manager at Geisinger Health Plan
  • Ben Hayes
  • ALLIANCE MEMBER
  • Medical Economics Manager at Johns Hopkins Health Plans
  • Sheri Hoffman
  • ALLIANCE MEMBER
  • Fraud, Waste, and Abuse Investigator at Geisinger Health Plan
  • Jennifer Jones
  • ALLIANCE MEMBER
  • Manager, Billing & Collections at Quartz Health Solutions
  • Cindy Macdonald
  • ALLIANCE MEMBER
  • Audit and Recovery Specialist at Community Health Options
  • Mary McMaster
  • ALLIANCE MEMBER
  • Lead Investigator at CommunityCare
  • Yulonda Newton
  • ALLIANCE MEMBER
  • Senior Ops Analyst at FirstCarolinaCare Insurance Company
  • Mai-Phuong Nguyen
  • ALLIANCE MEMBER
  • FWA Program Manager at Santa Clara Family Health Plan
  • Sean Noone
  • ALLIANCE MEMBER
  • Senior Director of Operations at Health New England
  • Carol Pawlosky
  • ALLIANCE MEMBER
  • RN, BSN, SIU Program Manager at MediGold
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Kerri Petersen
  • ALLIANCE MEMBER
  • Manager, Clinical Configuration at Capital District Physicians' Health Plan (CDPHP)
  • Tracie Pettitt
  • ALLIANCE MEMBER
  • Operations Analyst at FirstCarolinaCare Insurance Company
  • Angie Pino
  • ALLIANCE MEMBER
  • Director of Claims Integrity at Community Health Plan of Washington
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Emily Schultz
  • ALLIANCE MEMBER
  • Medical Auditor at Physicians Health Plan
  • Sophia Wagener
  • ALLIANCE MEMBER
  • Intern at Central Health Plan of California
Speakers