Context 4 Healthcare will showcase its Dental UCR solution as an exhibitor at the National Association of Dental Plans ( NADP ) Converge 2014 conference, taking place September 15 – 18, 2014 near Orlando, FL. NADP’s Converge 2014 conference will bring together the leading experts, panelists, and vendor resources within the dental benefits industry. Although this is the first year Context has been included as a vendor at the NADP Converge conference, the year 2014 marks the 15 th ye ...

On August 4, 2014, the Department of Justice announced a settlement with Community Health Systems, Inc. (CHS) for $98.15 million to satisfy allegations CHS improperly billed Medicare, Medicaid and Tricare for inpatient admissions that should have been billed as outpatient or observation services. CHS is the largest operator of acute care hospitals in the country, which currently number 206 hospitals in 29 states. The lawsuit specifically alleges that CHS, through corporate policy, encouraged in ...

On July 9, 2014, the U.S. government was subject to a frenzy of media attention after the announcement that federal agencies made nearly $100 billion in improper payments in 2013. This information was reported after a hearing held by the House Oversight government operations subcommittee. While this improper payment amount encompasses all government agencies, the Medicare (Fee-for-Service) program topped the list of all improper payments made by government agencies at $36 billion. The remaining ...

Context 4 Healthcare is excited to announce the launch of three brand-new blogs designed to explore and analyze issues affecting the payer and provider communities. Sign up to receive email updates for one or all of our new blogs, and immediately benefit from the articles and analysis provided by Context's experts. Context's Compliance Edge blog is focused on providers and industry issues associated with real-time clinical claim editing used to maximize reimbursements. This blog is authored b ...

In a July 2014 news release, the Department of Justice announced the guilty plea of a Florida podiatrist to one count of  healthcare fraud for billing Medicare falsely for Micro-vas treatments. At issue were the podiatrist’s claims to Medicare for therapy services that were non-covered, were incorrectly coded as physical therapy, and were coded as the doctor performing the service when he had not. Micro-Vas is a trademarked device that provides deep penetrating electrical stimulatio ...