CommercialApril 30, 2022
Empire announces changes to post-payment audits conducted on our behalf
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
Empire continues to work with Cotiviti as a post-payment DRG validation audit partner. Effective immediately, the Empire CCA team is assuming a larger role in conducting post-payment DRG validation audits and DRG readmission audits. In addition to receiving requests from Empire’s CCA team, network-participating providers may continue to receive letters from Cotiviti requesting access to medical records for the purpose of conducting these audits. We will do our best to avoid duplicate medical record requests from Empire and Cotiviti.
Thank you for your continued efforts to expedite medical record requests.
This notification applies to all lines of business and all markets. If you have questions about this notification, please contact the Provider Services call center.
PUBLICATIONS: May 2022 Newsletter
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