The countdown is on for the June 15 deadline to submit your HEDIS 2018® data, and there’s no shortage of details to keep track of to ensure your submission is accurate, locked on time, and approved by your auditor. We hear from Cotiviti product manager Jamison Gillitzer and senior data analyst Charan Govind, who offer important reminders to help health plans dot their i’s and cross their t’s in these final weeks of the HEDIS 2018 season.

Automated claim editing systems are a crucial component of accurate and efficient claims payment. But there will always be claims that are too complex to be auto-adjudicated and need a human touch. So, what exactly do you need to clinically validate a claim? We talk with Kris Jensen, registered nurse and clinical consultant for Cotiviti's Payment Accuracy solutions.

The HEDIS® 2018 deadline for submitting your medical record review validation (MRRV) data is earlier this year than in years past. Are you prepared? On this episode, our monthly dive into HEDIS season continues as we get tips for MRRV success from Carrie Taylor and Holly Conk, managers of HEDIS abstraction for Cotiviti.

Is your claim editing system catching all types of duplicate claims, or are many of them passing through and getting paid? And if so, what can you do about it? We talk with John Neumann, registered nurse and clinical consultant for Cotiviti's Payment Accuracy solutions, who breaks down common misconceptions about duplicate claims and describes how health plans can combat them.

The Centers for Medicare & Medicaid Services (CMS) has released its final 2019 Medicare Advantage and Part D Rate Announcement and Call Letter. What are the key takeaways for Medicare Advantage plans and their risk adjustment programs? We dive in with vice president Lesley Brown, who drives the product strategy for Cotiviti's Risk Adjustment solutions.

The National Committee for Quality Assurance (NCQA) is proposing several new measures and measure changes for next year’s HEDIS® season. We examine how this would impact health plans with Jenna Fitcher, product director for Cotiviti's Quality and Performance Solutions, as well as product manager Jamison Gillitzer.

As payers increasingly use quality data to drive performance improvement initiatives across their organizations, Cotiviti conducted a survey in late 2017 to determine how organizational shifts are affecting their strategy and planning. We look over the results with David Bartley, vice president of Quality and Performance.

On the premiere episode of our podcast, we look at how health plans should get their data ready for their HEDIS® production run with Jenna Fitcher, product director for Cotiviti's Quality and Performance solutions, and Geetha Bhatraj, director of data program management.

On the premiere episode of our podcast, we look at how health plans should get their data ready for their HEDIS® production run with Jenna Fitcher, product director for Verscend’s quality improvement solutions, and Geetha Bhatraj, director of data program management.