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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Excessive billing of colon cancer screening kits

Tai Gibson, AHFI, CPC, HCAFA

May 14, 2026

Latest Content

QUALITY AND STARS

2027 CMS Final Rule: What’s changing in Star Ratings and next steps for success

Marge Ciancetta

May 12, 2026

RISK ADJUSTMENT (PROVIDER)

Reexamining standards for better risk adjustment coding

Betty Stump, MHA, RHIT, CPC, CDIP

May 7, 2026

FRAUD, WASTE, AND ABUSE

Webinar: Waste and abuse in behavioral health

Erin Rutzler, AHFI, CFE, CHC, CPC

May 5, 2026

PAYMENT ACCURACY

Inpatient claim review in 2026: 5 key trends and recommendations

Amy Carleton, RN, BSN

Apr 22, 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

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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