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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

Closing the Gap: National Immunization Awareness Month

Jamison Gillitzer

Jul 31, 2023

QUALITY AND STARS

Closing the Gap: Improving cervical cancer prevention

Jamison Gillitzer

Jan 25, 2023

QUALITY AND STARS

Webinar: Reviewing HEDIS MY 2021 and looking ahead to MY 2022

Jamison Gillitzer

Jun 30, 2022

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2022

Jamison Gillitzer

Mar 2, 2021

QUALITY AND STARS

Breaking down NCQA’s proposed changes for HEDIS Measurement Year 2020

Jamison Gillitzer

Feb 20, 2020

QUALITY AND STARS

From the HEDIS® 2019 trenches: the final countdown

Jamison Gillitzer

Jun 10, 2019

QUALITY AND STARS

Looking ahead: proposed measure changes for HEDIS® 2020

Jamison Gillitzer

Mar 6, 2019

QUALITY AND STARS

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

Jamison Gillitzer

Jan 24, 2019

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