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Our latest healthcare insights and perspectives

RISK ADJUSTMENT (PROVIDER)

Top 3 operational challenges for providers adopting HCC coding

Amanda Liu

Jun 19, 2026

Latest Content

FRAUD, WASTE, AND ABUSE

PAYMENT ACCURACY

Webinar: The impact of AI-driven billing on health plans

Jeremy Mooney

Jun 17, 2026

FRAUD, WASTE, AND ABUSE

FWA Insights: Identifying modifier misuse in radiology services

Aron Litostanski

Jun 11, 2026

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

eBook: New risk adjustment standards for compliance

Amanda Liu

Jun 3, 2026

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

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

Asfandyar Bashir

May 27, 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: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

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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