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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Excessive billing of colon cancer screening kits

Tai Gibson, AHFI, CPC, HCAFA

May 14, 2026

Latest Content

QUALITY AND STARS

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

Marge Ciancetta

May 12, 2026

RISK ADJUSTMENT (PROVIDER)

Reexamining standards for better risk adjustment coding

Betty Stump, MHA, RHIT, CPC, CDIP

May 7, 2026

FRAUD, WASTE, AND ABUSE

Webinar: Waste and abuse in behavioral health

Erin Rutzler, AHFI, CFE, CHC, CPC

May 5, 2026

PAYMENT ACCURACY

Inpatient claim review in 2026: 5 key trends and recommendations

Amy Carleton, RN, BSN

Apr 22, 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

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

04

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

QUALITY AND STARS

Webinar: Optimize Medicare Advantage Star Ratings with Star Intelligence

Ashley McNairy

Nov 1, 2022

QUALITY AND STARS

Bouncing back from the 2023 Star Ratings

Ashley McNairy

Oct 19, 2022

QUALITY AND STARS

HEDIS® strategies: 4 ways to prepare for the ECDS transition

Ashley McNairy

Jul 18, 2022

QUALITY AND STARS

Learning from 2022 Star Ratings and planning for 2023–2024

Ashley McNairy

Oct 19, 2021

QUALITY AND STARS

CMS Star Ratings: Navigating changes in 2021 and the coming years

Ashley McNairy

Feb 16, 2021

QUALITY AND STARS

Cotiviti clients outperform the field in 2021 Star Ratings

Ashley McNairy

Oct 14, 2020

RISK ADJUSTMENT

Mitigating the impact of COVID-19 on risk adjustment and quality scores

Ashley McNairy

Jun 26, 2020

QUALITY AND STARS

The 2020 Medicare Advantage and Part D Final Call Letter: What to know about Star Ratings

Ashley McNairy

Apr 5, 2019

QUALITY AND STARS

Achieving five-star success: takeaways from the Medicare Star Ratings & Quality Assurance Summit

Ashley McNairy

Dec 13, 2018

QUALITY AND STARS

The 2019 Star Ratings program: making the cut

Ashley McNairy

Oct 15, 2018

QUALITY AND STARS

The CMS 2019 Final Rate Notice: Star Ratings changes

Ashley McNairy

Apr 13, 2018

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