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Our latest healthcare insights and perspectives

PAYMENT ACCURACY

Inpatient claim review in 2026: 5 key trends and recommendations

Amy Carleton, RN, BSN

Apr 22, 2026

Latest Content

FRAUD, WASTE, AND ABUSE

FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

RISK ADJUSTMENT (PAYER)

Webinar: How CMS changes will impact risk adjustment in 2027

Betty Stump, MHA, RHIT, CPC, CDIP

Apr 13, 2026

QUALITY & STARS

Webinar: Decoding the 2027 CMS Final Rule

Marge Ciancetta

Apr 10, 2026

ENTERPRISE DATA ANALYTICS

Correct coding: Why it’s vital across health plan operations

Brad Terry, M.D., M.B.A., CHCQM, CPC

Apr 8, 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

Busted: The top fraud schemes of Q1 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Apr 30, 2025

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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