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Our latest healthcare insights and perspectives

QUALITY AND STARS

Webinar: Reflecting on HEDIS MY 2024 and preparing for what’s next

Jamison Gillitzer

Jul 1, 2025

Latest Content

PAYMENT INTEGRITY

Webinar: Billing and policy trends impacting your payment integrity program

Jonathan Edwards

Jun 18, 2025

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

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

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

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