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Our latest healthcare insights and perspectives

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

AI for encounter operations: A new layer of intelligence for healthcare data pipelines

Asfandyar Bashir

May 27, 2026

Latest Content

FRAUD, WASTE, AND ABUSE

FWA Insights: Excessive billing of colon cancer screening kits

Tai Gibson, AHFI, CPC, HCAFA

May 14, 2026

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

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

Star Ratings: 4 recommendations for the 2026 CMS Final Rule

Marge Ciancetta

May 20, 2025

QUALITY AND STARS

Webinar: Breaking down the 2026 CMS Advance Notice

Marge Ciancetta

Feb 5, 2025

QUALITY AND STARS

3 takeaways for Medicare Advantage plans from the 2025 Star Ratings

Marge Ciancetta

Oct 28, 2024

QUALITY AND STARS

Webinar: Decoding the 2025 Star Ratings

Marge Ciancetta

Oct 8, 2024

QUALITY AND STARS

Podcast: Star Ratings strategies for smaller MA plans

Marge Ciancetta

Aug 22, 2024

QUALITY AND STARS

What to expect from CMS recalculating Star Ratings

Marge Ciancetta

Jun 24, 2024

QUALITY AND STARS

Podcast: New Star Ratings strategies for success in 2025 and beyond

Marge Ciancetta

May 20, 2024

QUALITY AND STARS

Webinar: Implications of the 2025 CMS Final Rate Announcement for quality programs

Marge Ciancetta

Apr 11, 2024

QUALITY AND STARS

Quality Decoded webinar series: 2025 CMS Advance Notice

Marge Ciancetta

Feb 20, 2024

QUALITY AND STARS

Closing the Gap: American Diabetes Month

Marge Ciancetta

Nov 2, 2023

QUALITY AND STARS

3 takeaways from the 2024 Star Ratings

Marge Ciancetta

Oct 23, 2023

QUALITY AND STARS

Navigating changes in Star Ratings programs: Enhancing success with four key steps

Marge Ciancetta

Jul 24, 2023

QUALITY AND STARS

Closing the Gap: Men’s Health Month

Marge Ciancetta

May 30, 2023

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