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Our latest healthcare insights and perspectives

PAYMENT INTEGRITY

Webinar: Billing and policy trends impacting your payment integrity program

Jonathan Edwards

Jun 18, 2025

Latest Content

FRAUD, WASTE, AND ABUSE

FWA Insights: Excessive dental restorations

Meagan Baxley, MBA, RDH

Jun 16, 2025

QUALITY AND STARS

RISK ADJUSTMENT

Webinar: Unlocking value from interoperability investments

Katie Devlin, DHSc, MS, CPHIMS

Jun 12, 2025

RISK ADJUSTMENT

Risk adjustment: 4 strategies as CMS increases RADV audits

Katie Sender, MSN, RN, PHN, CRC

Jun 10, 2025

PAYMENT INTEGRITY

Case studies: Performing beyond expectations in payment integrity

Kevin Laskey

May 29, 2025

Popular

01

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

02

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 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

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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