News & Analysis

HIM leaders must stay vigilant as CMS revives RADV battle

January 28, 2026
HIM Briefings

As CMS continues its efforts to ramp up risk adjustment data validation (RADV) audits, HIM leaders can start preparing now.

This Week in Medicare—1/28/2026

January 28, 2026
Medicare Insider

This week’s Medicare updates include the OIG’s Fall 2025 Semiannual Report to Congress, updated guidance on behavioral health integration services, and more!

A strategic, defensible, transparent approach to pricing

January 28, 2026
HIM Briefings

Analyze multidisciplinary strategies that help organizations ensure prices are explainable, consistently applied, supported by data, and compliant.

This Week in Medicare—1/21/2026

January 21, 2026
Medicare Insider

This week’s Medicare updates include revised guidance for Federally Qualified Health Centers, a favorable OIG Advisory Opinion, and more! 

CMS publishes FY 2025 improper payment figures

January 21, 2026
News & Insights

Review the fiscal year (FY) 2025 estimated improper payment rates across Medicare programs. 

The hidden risk of AI hallucinations in appeals

January 21, 2026
HIM Briefings

Discover how artificial intelligence (AI) hallucinations can undermine compliance, damage credibility, and lead to costly reimbursement losses in appeals. 

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