Risk Adjustment in Times of Uncertainty
Coordination of benefits (COB) is an intricate, time-consuming process for all health plans-sifting through data assets, checking validity, establishing primacy, and more. But having a seasoned partner to cut through complexities for speed, accuracy, and detail can mean significant savings.
That's why a regional health plan enlisted the help of Cotiviti's retrospective COB Validation solution and started seeing results fast. Initially using Cotiviti's prepay Payment Policy Management and Coding Validation solutions, the plan deployed COB Validation in 2024 for commercial and Medicaid lines of business as a second-pass review to find what a first pass might have missed, including more complex issues.
Key Results*
Appropriate billing of intensive outpatient programs
Coordination of benefits (COB) is an intricate, time-consuming process for all health plans-sifting through data assets, checking validity, establishing primacy, and more. But having a seasoned partner to cut through complexities for speed, accuracy, and detail can mean significant savings.
*The results depicted are based on an individual client's experiences and circumstances. Results may vary depending on factors including but not limited to usage and application.
Betty supports Cotivitis Coordination of Benefits (coB) Validation solution as vice president of operations. She has more than 11 years of experience with Cotivitis COB solution.