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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Identifying adult day health billing schemes

David Kaahaaina

Mar 18, 2026

Latest Content

PAYMENT ACCURACY

Webinar: Inpatient claim review trends and challenges

Amy Carleton, RN, BSN

Mar 16, 2026

QUALITY & STARS

HEDIS MY 2027 Public Comment: What to know

Samantha Davis

Mar 10, 2026

QUALITY AND STARS

Webinar: Decoding the HEDIS MY 2027 public comment period

Samantha Davis

Feb 25, 2026

QUALITY AND STARS

RISK ADJUSTMENT

Improving medical record retrieval: 5 best practices

Amanda Liu

Feb 12, 2026

Popular

01

Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 25, 2025

02

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 19, 2025

03

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

04

2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA, RHIT, CPC, CDIP

Feb 5, 2026

PAYMENT INTEGRITY

Checklist: How to build a valuable coordination of benefits program

Evan Okulanis

Aug 1, 2024

PAYMENT INTEGRITY

Case study: Coordination of benefits (COB) results soar for large national plan

Evan Okulanis

Apr 9, 2024

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