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Find news and solutions for healthcare payers and providers. Recognize and avoid potential fraud, waste, and abuse scenarios. Real-time clinical claim editing are analyzed to maximize provider reimbursements.

CMS Adds New HCPCS COVID-19 Lab Code

  • Steve Nesnidal, MD, CPC, AHFI
  • Oct 21, 2020
  • Comments
COVID Test Neg

CMS is adjusting its payment policy for COVID-19 laboratory tests starting in Jan 1, 2021 in order to incentivize high throughput COVID-19 laboratory test results and ensure turnaround of results are provided in a clinically meaningful timeframe.

ICD-10-CM Code Changes Effective October 1, 2020

  • Steve Nesnidal, MD, CPC, AHFI
  • Sep 15, 2020
  • Comments
Keyboard

Over 490 new ICD-10-CM code changes were announced by the CDC on July 1, 2020, effective October 1,2020. The updated ICD-10-CM coding guidelines outline how diseases related to vaping and COVID-19 should be properly coded.

CDT 2021 Updates Include New Codes for Coronavirus and Vaping

  • Steve Nesnidal, MD, CPC, AHFI
  • Aug 13, 2020
  • Comments
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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. Among the new CDT code additions for 2021 are two (2) new coronavirus testing codes and a code related to counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use.

Context 4 Healthcare and vendor partner VBA Host a Webinar on Reference-Based Pricing

  • John Danza
  • Aug 04, 2020
  • Comments
VBAWebinar_BlogPost

Context 4 Healthcare and VBA co-host webinar on Reference-Based Pricing.

Context4 Healthcare Medical Director Dr. Steve Nesnidal Earns Important Healthcare Anti-Fraud Accreditation

  • John Danza
  • Jul 28, 2020
  • Comments
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Context4 Healthcare is thrilled to announce that our Medical Director Dr. Steve Nesnidal has earned certification as an Accredited Health Care Fraud Investigator (AHFI), an important healthcare anti-fraud professional designation from the National Health Care Anti-Fraud Association (NHCAA).


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