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Our latest healthcare insights and perspectives

PAYMENT ACCURACY

The impact of AI-driven provider billing on health plans

Jeremy Mooney

Aug 3, 2026

Latest Content

FRAUD, WASTE, AND ABUSE

Behavioral health FWA: Top concerns for payers

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 22, 2026

FRAUD, WASTE, AND ABUSE

FWA Insights: Providers billing outside of their specialty

Brittny Eberhart, AHFI

Jul 16, 2026

QUALITY AND STARS

Webinar: Breaking down HEDIS MY 2025

Jamison Gillitzer

Jul 14, 2026

RISK ADJUSTMENT (PAYER)

Risk adjustment with AI: Key do’s and don’ts

Summerpal Kahlon, M.D.

Jul 7, 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

Feb 5, 2026

03

MY 2026: Breaking down the latest HEDIS Technical Specifications

Samantha Davis

Oct 7, 2025

04

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

RISK ADJUSTMENT

Risk adjustment: 4 strategies as CMS increases RADV audits

Katie Sender, MSN, RN, PHN, CRC

Jun 10, 2025

RISK ADJUSTMENT

Webinar: Key updates to improve coding accuracy in 2025

Katie Sender, MSN, RN, PHN, CRC

Oct 11, 2024

RISK ADJUSTMENT

10 tips for a successful commercial risk adjustment program

Katie Sender, MSN, RN, PHN, CRC

Jul 23, 2024

RISK ADJUSTMENT

Video: Navigating new frontiers in risk adjustment

Katie Sender, MSN, RN, PHN, CRC

Jul 9, 2024

RISK ADJUSTMENT

3 key risk adjustment strategies to drive success in 2024

Katie Sender, MSN, RN, PHN, CRC

Apr 18, 2024

RISK ADJUSTMENT

New approaches to enhance risk adjustment at RISE National 2024

Katie Sender, MSN, RN, PHN, CRC

Mar 5, 2024

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