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Our latest healthcare insights and perspectives

PAYMENT INTEGRITY

Payment integrity: Unlocking the value of complex outpatient reviews

Amy Carleton, RN, BSN

May 7, 2025

Latest Content

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

QUALITY AND STARS

RISK ADJUSTMENT

3 updates from the 2026 CMS Final Rate Announcement

Branka Sustic

Apr 14, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Skin grafts and substitutes

Jamecia Cousar

Apr 9, 2025

PAYMENT INTEGRITY

Case study: The value of cross-payer analytics

Jonathan Edwards

Apr 2, 2025

Popular

01

Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

02

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

03

The 2026 CMS Advance Notice: 3 key takeaways

Branka Sustic

Jan 21, 2025

04

NCQA releases proposed HEDIS MY 2026 updates

Samantha Davis

Mar 4, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging for excessive modifiers

Melanie Poole

Sep 1, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging potential physical therapy schemes

Melanie Poole

Aug 4, 2022

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