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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Risks and realities of providers billing outside of their specialty

Brittny Eberhart, AHFI

Jul 16, 2026

Latest Content

QUALITY AND STARS

Webinar: Breaking down HEDIS MY 2025

Jamison Gillitzer

Jul 14, 2026

RISK ADJUSTMENT (PAYER)

Risk adjustment with AI: Key do’s and don’ts

Summerpal Kahlon, M.D.

Jul 7, 2026

RISK ADJUSTMENT (PAYER)

Beyond coding: A patient-centered approach to risk adjustment

Betty Stump, MHA

Jul 1, 2026

INTEROPERABILITY

Interpreting public prior authorization metrics

Jason Van Der Jagt

Jun 29, 2026

Popular

01

Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 25, 2025

02

2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA

Feb 5, 2026

03

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

04

FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

QUALITY & STARS

What the Clover Insurance decision means for 2027 QBP determinations

Marge Ciancetta

Jun 26, 2026

RISK ADJUSTMENT (PROVIDER)

Case Study: Improving risk capture with advanced pre-visit prep

Betty Stump, MHA

Jun 23, 2026

RISK ADJUSTMENT (PROVIDER)

Top 3 operational challenges for providers adopting HCC coding

Amanda Liu

Jun 19, 2026

FRAUD, WASTE, AND ABUSE

PAYMENT ACCURACY

Webinar: The impact of AI-driven billing on health plans

Jeremy Mooney

Jun 17, 2026

FRAUD, WASTE, AND ABUSE

FWA Insights: Identifying modifier misuse in radiology services

Aron Litostanski

Jun 11, 2026

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

eBook: New risk adjustment standards for compliance

Amanda Liu

Jun 3, 2026

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

AI for encounter operations: A new layer of intelligence for healthcare data pipelines

Asfandyar Bashir

May 27, 2026

QUALITY AND STARS

2027 CMS Final Rule: What’s changing in Star Ratings and next steps for success

Marge Ciancetta

May 12, 2026

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