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FRAUD, WASTE, AND ABUSE

Behavioral health FWA: Top concerns for payers

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 22, 2026

Latest Content

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

RISK ADJUSTMENT (PAYER)

A patient-centered approach to risk adjustment

Betty Stump, MHA

Jul 1, 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

QUALITY AND STARS

Decoding the HEDIS MY 2025 Technical Specifications

Samantha Davis

Sep 25, 2024

QUALITY AND STARS

Webinar: Decoding the HEDIS MY 2025 Technical Specifications

Samantha Davis

Aug 20, 2024

QUALITY AND STARS

NCQA releases proposed HEDIS MY 2025 updates

Samantha Davis

Feb 28, 2024

QUALITY AND STARS

NCQA confirms HEDIS® updates for Measurement Year (MY) 2024

Samantha Davis

Sep 18, 2023

QUALITY AND STARS

Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025

Samantha Davis

Feb 23, 2023

QUALITY AND STARS

HEDIS MY 2023: Noteworthy topics to consider during NCQA’s public comment period

Samantha Davis

Mar 9, 2022

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2023

Samantha Davis

Feb 24, 2022

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