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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.
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Alert: New COVID-19 ICD-10-CM Diagnosis Code, CPT® and HCPCS Codes

  • June 2, 2020
  • Blog

by Steve Nesnidal, MD, CPC, AHFI In response to the Novel Coronavirus pandemic, a new ICD-10-CM code was moved up…

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Alert: New ICD-10-CM Emergency Code Added for Vaping-Related Disorder

  • January 20, 2020
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Starting in 2019, we have experienced a national outbreak in vaping related pulmonary illnesses. …

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Detecting Healthcare Fraud, Waste, and Abuse

  • July 30, 2019
  • Blog

by Steve Nesnidal, MD, CPC, AHFI The themes of blatant healthcare fraud include a wide variety of dastardly approaches. Many seem…

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Combating Overutilization of Healthcare Resources

  • February 4, 2019
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Overutilization in Healthcare is a problem which has been estimated to cost in the…

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Keeping a watchful eye on telehealth claims

  • June 5, 2018
  • Blog

by Cindy Gallee, JD, RHIA, CHC Telemedicine has grown significantly in recent years due to new technologies and consumer demand. …

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When fraud causes patient harm, and how to find it before it does

  • April 17, 2018
  • Blog

by Cindy Gallee, JD, RHIA, CHC It’s been called the most sinister, the most egregious, the worst kind of health…

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Healthcare Fraud and Abuse Schemes – How to Spot the Patterns

  • March 9, 2018
  • Blog

by Emilia Burlasz Before the use of electronic claim submissions and EHRs, the only option payers had to detect fraud,…

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Dental FWA – Upcoding, Misrepresentation and Diagnosing Unnecessary Treatment

  • January 16, 2018
  • Blog

by Cindy Gallee, JD, RHIA, CHC Dental fraud, waste, and abuse (FWA) is often unchecked as most Payer’s dental insurance…

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Virtual Benefits Administrator and Context4 Healthcare, Inc. announce real-time Medicare pricing automation

  • October 4, 2017
  • Blog

by John Danza Virtual Benefits Administrator and Context4 Healthcare, Inc. are pleased to announce the release of real-time Medicare and UCR pricing….

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Payment Integrity and ACO Success

  • August 27, 2017
  • Blog

by Margaret Klasa DC, APN BC Various payment models are the trend for the healthcare industry today and will be…

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EHR systems can’t protect you from the False Claims Act

  • August 11, 2017
  • Blog

by John Danza The recent Department of Justice (DOJ) $155 million False Claims Act settlement with eClinicalWorks highlights a problem that…

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Medicare Advantage Plans Under the FWA Microscope

  • June 29, 2017
  • Blog

by Margaret Klasa DC, APN BC HEALTHCARE is again the most popular topic for the past few weeks.  Even friends that…

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  • (800) 783-3378
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  • About
    • About Us
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      • Advanced Medical Coding Software – CodeLink®
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