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Our latest healthcare insights and perspectives

QUALITY & STARS

What the Clover Insurance decision means for 2027 QBP determinations

Marge Ciancetta

Jun 26, 2026

Latest Content

RISK ADJUSTMENT (PROVIDER)

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

Betty Stump, MHA, RHIT, CPC, CDIP

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

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, RHIT, CPC, CDIP

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

RISK ADJUSTMENT

White paper: Commercial risk adjustment updates to prepare for in 2026

Amanda Liu

May 22, 2025

RISK ADJUSTMENT

White Paper: Preparing for success in Medicare Advantage risk adjustment

Amanda Liu

Mar 5, 2025

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