Our latest healthcare insights and perspectives
FRAUD, WASTE, AND ABUSE
FWA Insights: Risks and realities of providers billing outside of their specialtyBrittny Eberhart, AHFI
Jul 16, 2026
RISK ADJUSTMENT (PAYER)
Risk adjustment with AI: Key do’s and don’tsSummerpal Kahlon, M.D.
Jul 7, 2026
RISK ADJUSTMENT (PAYER)
Beyond coding: A patient-centered approach to risk adjustmentBetty Stump, MHA
Jul 1, 2026
Adrianne Glanton, MSN, RN, CPC
Apr 15, 2026
PAYMENT INTEGRITY
White paper: The “smart prepay” approach to payment integrityMatthew Hawley
Apr 20, 2023
QUALITY AND STARS
CONSUMER ENGAGEMENT
Closing the Gap: National Minority Health MonthLeah Dewey
Apr 17, 2023
PAYMENT INTEGRITY
Savings spotlight: Cotiviti takes on payment integrity in 5 new case studiesWarren Lesnefsky
Apr 3, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Prepay review leads to >$100K in projected annual savingsErin Rutzler, AHFI, CFE, CHC, CPC
Mar 28, 2023
FRAUD, WASTE, AND ABUSE
Webinar: Sequencing investigative activities for greater provider impactErin Rutzler, AHFI, CFE, CHC, CPC
Mar 22, 2023
QUALITY AND STARS
Closing the Gap: Improve screening rates during Colorectal Cancer Awareness MonthThelma Belli
Mar 21, 2023
FRAUD, WASTE, AND ABUSE
Podcast: How health plans investigate and prevent FWAJeff Robinson
Mar 2, 2023
QUALITY AND STARS
Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025Samantha Davis
Feb 23, 2023