We’re putting healthcare
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform.
to empower your organization
Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts.
Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution.
More than 100 healthcare data sets, with professional support to optimize efficiency and compliance.
Advanced medical coding software designed to expedite claim submission and minimize denials.
from our team of experts
2021 Dental CDT Code Changes Include New Image Capture Only Codes
The American Dental Association (ADA) will add 28 new CDT codes effective January 1, 2021, along with seven (7) code revisions, four (4) code deletions and 22 editorial changes. The new CDT code additions for 2021 will include nine (9) new codes for image capture only.
Alert: New ICD-10-CM Emergency Code Added for Vaping-Related Disorder
Starting in 2019, we have experienced a national outbreak in vaping related pulmonary illnesses. This outbreak has created a dilemma for coders, payers and researchers as well.
Detecting Healthcare Fraud, Waste, and Abuse
Although isolated errors are consistently made in claims submission, tools which can help see beyond them and isolate patterns that are suspicious for fraud on a grand scale, or at least waste or abuse of a significant scope, can prove valuable.