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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: The keys to successful claim overpayment recovery

Jeff Robinson

Jun 12, 2019

Latest Content

QUALITY IMPROVEMENT

From the HEDIS® 2019 trenches: the final countdown

Jamison Gillitzer

Jun 10, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: how to sharpen your inpatient auditing program with better chart selection

Jeff Robinson

May 20, 2019

QUALITY IMPROVEMENT

From the HEDIS® 2019 trenches: preparing for MRRV success

Jenna Fitcher

May 15, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: the top fraud schemes of Q1 2019

Leslie Groves

Apr 23, 2019

QUALITY IMPROVEMENT

From the HEDIS® 2019 trenches: the importance of an admin refresh

Jenna Fitcher

Apr 18, 2019

ENTERPRISE DATA ANALYTICS

Podcast: Excellus BlueCross BlueShield’s data lake journey

Jeff Robinson

Apr 15, 2019

ENTERPRISE DATA ANALYTICS

Data lakes: the rising tide that lifts all healthcare stakeholders

Sumant Rao

Mar 25, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: validating clinical claims without medical record review

Jeff Robinson

Mar 22, 2019

ENTERPRISE DATA ANALYTICS

Podcast: A path to success in the changing data management landscape

Jeff Robinson

Mar 12, 2019

QUALITY IMPROVEMENT

Looking ahead: proposed measure changes for HEDIS® 2020

Jamison Gillitzer

Mar 6, 2019

RISK ADJUSTMENT

How to stay sharp during commercial risk adjustment season

Rebecca Darnall

Feb 28, 2019

QUALITY IMPROVEMENT

From the HEDIS® 2019 trenches: optimizing your chases

Leah Breeggemann

Feb 20, 2019

ENTERPRISE DATA ANALYTICS

Podcast: improving healthcare tech for a 360° view of patient care

Jeff Robinson

Feb 12, 2019

QUALITY IMPROVEMENT

From the HEDIS® 2019 trenches: getting your data in order

Jamison Gillitzer

Jan 24, 2019

ENTERPRISE DATA ANALYTICS

What should payers consider before diving into a data lake?

Jeff Robinson

Jan 17, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: rounding up the top fraud schemes of Q3-Q4 2018

Warren Lesnefsky

Jan 10, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: Fighting healthcare fraud and abuse with NHCAA

Jeff Robinson

Nov 6, 2018

QUALITY IMPROVEMENT

The 2019 Star Ratings program: making the cut

Ashley McNairy

Oct 15, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: How clinical validation is good for payers, providers, and patients

Jeff Robinson

Sep 27, 2018

RISK ADJUSTMENT

The three fundamentals of risk adjustment success

Gabriel Odeh

Sep 13, 2018

PAYER-PROVIDER COLLABORATION

Payer-provider collaboration tools: a state of the union

Jeff Robinson

Aug 29, 2018

ENTERPRISE DATA ANALYTICS

Reflections from a healthcare IT “up-and-comer”

Jeff Robinson

Aug 13, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

RISK ADJUSTMENT

Breaking it down: CMS reinstates ACA risk adjustment payments

Rebecca Darnall

Jul 25, 2018

QUALITY IMPROVEMENT

Podcast: Navigating to better Star Ratings performance

Jeff Robinson

Jun 20, 2018

QUALITY IMPROVEMENT

Podcast: The final sprint to the HEDIS 2018 finish

Jeff Robinson

May 22, 2018

ENTERPRISE DATA ANALYTICS

Set your data free! Takeaways from the 2018 Health Datapalooza

David Costello

May 3, 2018

QUALITY IMPROVEMENT

Podcast: Are you ready for medical record review validation?

Jeff Robinson

Apr 24, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

QUALITY IMPROVEMENT

The CMS 2019 Final Rate Notice: Star Ratings changes

Ashley McNairy

Apr 13, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: Are you catching all types of duplicate claims?

Warren Lesnefsky

Apr 11, 2018

RISK ADJUSTMENT

Podcast: Sifting the 2019 Medicare Advantage Final Rate Notice

Jeff Robinson

Apr 6, 2018

QUALITY IMPROVEMENT

From the trenches podcast: HEDIS® measure changes on the horizon

Jeff Robinson

Mar 28, 2018

ENTERPRISE DATA ANALYTICS

Catching up with Dr. Emad Rizk

Jeff Robinson

Mar 26, 2018

QUALITY IMPROVEMENT

From the trenches podcast: The changing quality improvement landscape

Jeff Robinson

Feb 14, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Just the facts: Answering your questions on claim editing and clinical validation

Debi Behunin

Feb 12, 2018

QUALITY IMPROVEMENT

from the trenches podcast: prepping for HEDIS® 2018 production

Jeff Robinson

Jan 30, 2018

ENTERPRISE DATA ANALYTICS

What makes Verscend a “major player” in clinical and financial analytics?

Jordan Bazinsky

Jan 23, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Get more bang for your buck with claim editing analytics

Jon Edwards

Jan 17, 2018

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