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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Risks and realities of providers billing outside of their specialty

Brittny Eberhart, AHFI

Jul 16, 2026

Latest Content

QUALITY AND STARS

Webinar: Breaking down HEDIS MY 2025

Jamison Gillitzer

Jul 14, 2026

RISK ADJUSTMENT (PAYER)

Risk adjustment with AI: Key do’s and don’ts

Summerpal Kahlon, M.D.

Jul 7, 2026

RISK ADJUSTMENT (PAYER)

Beyond coding: A patient-centered approach to risk adjustment

Betty Stump, MHA

Jul 1, 2026

INTEROPERABILITY

Interpreting public prior authorization metrics

Jason Van Der Jagt

Jun 29, 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

Feb 5, 2026

03

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

04

FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

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

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