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Payment Integrity 2025: Challenges & Solutions - News Directory 3

Payment Integrity 2025: Challenges & Solutions

June 5, 2025 Catherine Williams Health
News Context
At a glance
  • Health plans face constant challenges in maintaining payment integrity‍ due to frequent updates in HCPCS and CPT codes, ‍as well as evolving healthcare mandates.
  • The Payment integrity Pulse webinar series is ⁢designed for payment integrity leaders and experts.
  • The initial 45-minute webinar covers the impacts of CPT code changes in evaluation and management, the shift from inpatient to outpatient utilization, and medical drug policy challenges.
Original source: blog.cotiviti.com

Navigating healthcare’s complexities? Cotiviti’s Payment Integrity Pulse webinar series for 2025 offers crucial insights to protect your bottom line. Designed specifically for payment integrity leaders, this series dives deep into evolving regulations, emerging trends, adn cutting-edge innovations impacting health plans. You’ll learn how to prevent inappropriate payments‍ and optimize member care with ⁤expert guidance on CPT code changes, utilization shifts, and specialty drug policies.A recent case study revealed a Blue Plan recovered⁢ $64 million—see how. Stay ahead of⁤ the curve with the Payment Integrity Pulse series.Discover what’s next for your organization. For more industry‍ news, check out News Directory 3.

key Points

  • Cotiviti introduces Payment Integrity Pulse webinar series for 2025.
  • Webinar offers insights on regulations, trends and innovations.
  • Aims too help health plans optimize member care.
  • Case study shows $64 million in recoveries by a Blue Plan.

Cotiviti Launches Payment Integrity pulse Webinar Series for 2025

Updated June 5, 2025

Health plans face constant challenges in maintaining payment integrity‍ due to frequent updates in HCPCS and CPT codes, ‍as well as evolving healthcare mandates. The introduction of new ⁢specialty drugs‍ and shifts in utilization trends further complicate the process. To address these issues, Cotiviti has launched the Payment Integrity Pulse webinar series.

The Payment integrity Pulse webinar series is ⁢designed for payment integrity leaders and experts. It delivers up-to-date insights on payment integrity regulations, trends, and innovations. This quarterly series offers expert advice on navigating the complexities of payment integrity throughout the year, helping health plans prevent ⁤inappropriate payments and optimize member care.

The initial 45-minute webinar covers the impacts of CPT code changes in evaluation and management, the shift from inpatient to outpatient utilization, and medical drug policy challenges. Amy Hodges, AVP of Content Operations, Amy Carleton, Senior Director⁤ of Clinical⁣ Chart Validation, and Matthew Herbein, VP of Data Mining, are among the experts leading the webinar.

What’s next

Cotiviti aims to help organizations reduce wasteful spending and improve outcomes for their members⁤ through the Payment Integrity Pulse series. The series ‍will continue to provide insights and strategies for navigating the evolving landscape of healthcare payment ⁢integrity.

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