Fraud, waste, and abuse (FWA) in healthcare cost the industry billions each year, diverting resources from…
Category: News
Webinar: Breaking down the 2026 CMS Advance Notice
In today’s environment of regulatory uncertainty, keeping up with the latest quality improvement standards, regulatory changes,…
FWA Insights: Changes to audio-only telehealth codes sheds light on FWA
While telehealth increases access to care for many, it also opens many possibilities for fraud, waste,…
White Paper: Navigating the transition to digital quality measurement
The healthcare industry is on the cusp of a significant transformation with the shift to digital…
eBook: How to evolve your FWA program in 2025
Fraud, waste, and abuse (FWA) in healthcare can lead to substantial cost increases and negatively impact…
eBook: Driving business value through interoperability
As landmark industry and regulatory trends such as the Trusted Exchange Framework and Common Agreement (TEFCA)…
NCQA releases proposed HEDIS MY 2026 updates
Each year, NCQA publishes a list of measure updates, additions, and deletions for future HEDIS® measurement…
White Paper: Preparing for success in Medicare Advantage risk adjustment
Risk adjustment is a crucial component of Medicare Advantage (MA), ensuring that payments to MA plans…
FWA Insights: Reducing audit abrasion
Fraud, waste, and abuse (FWA) audits play a crucial role in ensuring healthcare payment integrity by…
Webinar: Confronting payment integrity challenges in 2025
Keeping pace with the constant updates to HCPCS codes, CPT codes, and both local and national…