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Our latest healthcare insights and perspectives

QUALITY AND STARS

Webinar: Breaking down HEDIS MY 2025

Jamison Gillitzer

Jul 14, 2026

Latest Content

RISK ADJUSTMENT (PAYER)

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

Summerpal Kahlon, M.D.

Jul 7, 2026

RISK ADJUSTMENT (PAYER)

Beyond coding: A patient-centered approach to risk adjustment

Betty Stump, MHA

Jul 1, 2026

INTEROPERABILITY

Interpreting public prior authorization metrics

Jason Van Der Jagt

Jun 29, 2026

QUALITY & STARS

What the Clover Insurance decision means for 2027 QBP determinations

Marge Ciancetta

Jun 26, 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

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

04

FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

PAYMENT INTEGRITY

Video: How to shorten time to payment integrity results

Matthew Hawley

Aug 3, 2022

PAYMENT INTEGRITY

Execute healthcare claims editing more accurately—with less provider abrasion

Matthew Hawley

Sep 22, 2021

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