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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

Latest Content

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

QUALITY AND STARS

RISK ADJUSTMENT

3 updates from the 2026 CMS Final Rate Announcement

Branka Sustic

Apr 14, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Skin grafts and substitutes

Jamecia Cousar

Apr 9, 2025

ENTERPRISE DATA ANALYTICS

Podcast: A path to success in the changing data management landscape

Jeff Robinson

Mar 12, 2019

QUALITY AND STARS

Looking ahead: proposed measure changes for HEDIS® 2020

Jamison Gillitzer

Mar 6, 2019

RISK ADJUSTMENT

How to stay sharp during commercial risk adjustment season

Rebecca Darnall

Feb 28, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: optimizing your chases

Leah Breeggemann

Feb 20, 2019

ENTERPRISE DATA ANALYTICS

Podcast: improving healthcare tech for a 360° view of patient care

Jeff Robinson

Feb 12, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: getting your data in order

Jamison Gillitzer

Jan 24, 2019

ENTERPRISE DATA ANALYTICS

What should payers consider before diving into a data lake?

Jeff Robinson

Jan 17, 2019

PAYMENT INTEGRITY

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

Warren Lesnefsky

Jan 10, 2019

PAYMENT INTEGRITY

Podcast: Fighting healthcare fraud and abuse with NHCAA

Jeff Robinson

Nov 6, 2018

QUALITY AND STARS

The 2019 Star Ratings program: making the cut

Ashley McNairy

Oct 15, 2018

RISK ADJUSTMENT

The three fundamentals of risk adjustment success

David Wolf

Sep 13, 2018

PAYMENT INTEGRITY

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

RISK ADJUSTMENT

Breaking it down: CMS reinstates ACA risk adjustment payments

Rebecca Darnall

Jul 25, 2018

QUALITY AND STARS

Podcast: Navigating to better Star Ratings performance

Jeff Robinson

Jun 20, 2018

QUALITY AND STARS

Podcast: The final sprint to the HEDIS 2018 finish

Jeff Robinson

May 22, 2018

ENTERPRISE DATA ANALYTICS

Set your data free! Takeaways from the 2018 Health Datapalooza

David Costello

May 3, 2018

QUALITY AND STARS

Podcast: Are you ready for medical record review validation?

Jeff Robinson

Apr 24, 2018

PAYMENT INTEGRITY

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

QUALITY AND STARS

The CMS 2019 Final Rate Notice: Star Ratings changes

Ashley McNairy

Apr 13, 2018

RISK ADJUSTMENT

Podcast: Sifting the 2019 Medicare Advantage Final Rate Notice

Jeff Robinson

Apr 6, 2018

QUALITY AND STARS

From the trenches podcast: HEDIS® measure changes on the horizon

Jeff Robinson

Mar 28, 2018

QUALITY AND STARS

From the trenches podcast: The changing quality improvement landscape

Jeff Robinson

Feb 14, 2018

QUALITY AND STARS

from the trenches podcast: prepping for HEDIS® 2018 production

Jeff Robinson

Jan 30, 2018

ENTERPRISE DATA ANALYTICS

What makes Verscend a “major player” in clinical and financial analytics?

Jordan Bazinsky

Jan 23, 2018

PAYMENT INTEGRITY

Get more bang for your buck with claim editing analytics

Jonathan Edwards

Jan 17, 2018

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