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Our latest healthcare insights and perspectives

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

AI for encounter operations: A new layer of intelligence for healthcare data pipelines

Asfandyar Bashir

May 27, 2026

Latest Content

FRAUD, WASTE, AND ABUSE

FWA Insights: Excessive billing of colon cancer screening kits

Tai Gibson, AHFI, CPC, HCAFA

May 14, 2026

QUALITY AND STARS

2027 CMS Final Rule: What’s changing in Star Ratings and next steps for success

Marge Ciancetta

May 12, 2026

RISK ADJUSTMENT (PROVIDER)

Reexamining standards for better risk adjustment coding

Betty Stump, MHA, RHIT, CPC, CDIP

May 7, 2026

FRAUD, WASTE, AND ABUSE

Webinar: Waste and abuse in behavioral health

Erin Rutzler, AHFI, CFE, CHC, CPC

May 5, 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, RHIT, CPC, CDIP

Feb 5, 2026

03

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

04

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

PAYMENT INTEGRITY

Get more bang for your buck with claim editing analytics

Jonathan Edwards

Jan 17, 2018

RISK ADJUSTMENT

Breaking it down: proposed Medicare Advantage risk adjustment model changes for 2019

Lesley Brown

Jan 11, 2018

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