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Our latest healthcare insights and perspectives

ENTERPRISE DATA ANALYTICS

Correct coding: Why it’s vital across health plan operations

Brad Terry, M.D., M.B.A., CHCQM, CPC

Apr 8, 2026

Latest Content

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

RISE highlights connected data, early intervention

Amanda Liu

Apr 1, 2026

PAYMENT ACCURACY

eBook: Future-proofing payment integrity

Warren Lesnefsky

Mar 25, 2026

FRAUD, WASTE, AND ABUSE

FWA Insights: Identifying adult day health billing schemes

David Kaahaaina

Mar 18, 2026

PAYMENT ACCURACY

Webinar: Inpatient claim review trends and challenges

Amy Carleton, RN, BSN

Mar 16, 2026

Popular

01

Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 25, 2025

02

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

03

2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA, RHIT, CPC, CDIP

Feb 5, 2026

04

Busted: The top fraud schemes of Q1 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Apr 30, 2025

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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