Cotiviti’s Signature Series features interviews with senior health plan leaders on how to improve clinical and financial outcomes in healthcare.
During the COVID-19 pandemic, health plans have seen claim volume drop markedly, coding guidelines change regularly, and new care models such as telehealth burgeon. All this change occurring in fewer than six months has forced health plans to rapidly adapt while ensuring members and provider relationships remain well cared for.
In a recent webinar, Highmark BlueCross BlueShield (Highmark) director of payment integrity Drew Satriano explained the steps his organization has taken to mitigate the impact of COVID-19, including using Cotiviti’s Coding Validation solution to monitor a troubling increase in telehealth claims with high-level Evaluation and Management (E&M) codes.
