Blog

Our latest healthcare insights and perspectives

RISK ADJUSTMENT

White paper: Commercial risk adjustment updates to prepare for in 2026

Amanda Liu

May 22, 2025

Latest Content

QUALITY AND STARS

Star Ratings: 4 recommendations for the 2026 CMS Final Rule

Marge Ciancetta

May 20, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

PAYMENT INTEGRITY

Payment integrity: Unlocking the value of complex outpatient reviews

Amy Carleton, RN, BSN

May 7, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

Popular

01

Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

02

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

03

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

04

The 2026 CMS Advance Notice: 3 key takeaways

Branka Sustic

Jan 21, 2025

PAYMENT INTEGRITY

Webinar: Leading the way forward in payment accuracy

Warren Lesnefsky

Jan 23, 2020

Case study: How Health Partners Plans recovered a >$1M overpayment

Warren Lesnefsky

Oct 10, 2019

PAYMENT INTEGRITY

Busted: the top 10 healthcare fraud schemes of Q3 2019

Warren Lesnefsky

Oct 7, 2019

PAYMENT INTEGRITY

Busted: the top fraud charges of Q2 2019

Warren Lesnefsky

Jul 18, 2019

PAYMENT INTEGRITY

Busted: the top fraud schemes of Q1 2019

Warren Lesnefsky

Apr 23, 2019

PAYMENT INTEGRITY

Busted: rounding up the top fraud schemes of Q3-Q4 2018

Warren Lesnefsky

Jan 10, 2019

PAYMENT INTEGRITY

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

PAYMENT INTEGRITY

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

Connect with our experts