Provider Alert! Texas Children’s Health Plan Announces Partnership with Cotiviti
Date: June 24, 2024 Attention: All Providers Effective Date: October 1, 2024 Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that beginning October 1, 2024, we will partner with Cotiviti, Inc (Cotiviti) for periodic post payment reviews of paid medical claims. The post payment reviews to be conducted are: Retrospective Clinical Claim Validation (RCCV) DRG, observation, and readmission reviews. These are the same/similar reviews that are currently being conducted, just with a new vendor, Cotiviti. What providers can expect: CCV...