Compliance Reports Identify 7 Billing Issues to Monitor for Fraud Risk
by Cindy Gallee, JD, RHIA, CHC In a significant compliance report by the Office of Inspector General (OIG), published in March 2015,…
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To Avoid Potential Fraud, Payers Should Monitor the LEIE Regularly
by Cindy Gallee, JD, RHIA, CHC Payers, especially those with contracts involving federal payments, should be monitoring their providers’ statuses…
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Identify Potential Fraud for Home Health Trends in E/M, Outliers & POS
by Cindy Gallee, JD, RHIA, CHC Investigators have long considered Home Health claims to be rife with the potential for…
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Context4Healthcare, Inc. Can Solve Your GEM of an ICD-10 Problem
by Margaret Klasa DC, APN BC Most healthcare professionals – from vendors to coders to physicians – are concerned about…
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U.S. House Committee to Hold ICD-10 Implementation Hearing Today
by Margaret Klasa DC, APN BC The U.S. House Energy and Commerce Committee’s subcommittee on healthcare is holding a hearing on…
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U.S. House Committee to Hold ICD-10 Implementation Hearing on Feb 11th
by Margaret Klasa DC, APN BC The U.S. House Energy and Commerce Committee’s subcommittee on healthcare will hold a hearing on…
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Context Names Cindy Gallee, JD, RHIA, CHC to Role of In-House Counsel
by Kate Armbruster Naperville, IL, January 22, 2015 — Context4 Healthcare, Inc., a leading provider of healthcare compliance and reimbursement solutions, announced…
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Context4 Healthcare, Inc. Launches Innovative ICDTransformer™ Solution
by Kate Armbruster NAPERVILLE, Ill. (January 15, 2015) – Context4 Healthcare, Inc., a leading provider of healthcare compliance and reimbursement solutions, announced today…
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2015 Context Physician Fee Reports – Now Available at Amazon.com!
by Kate Armbruster The challenge facing physiciansWhich fees are too high or too low? What can I charge for new…
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New Anti-Fraud Safeguards Under ACA Impact Medicare Billing Privileges
by Margaret Klasa DC, APN BC As a result of new anti-fraud measures under the Affordable Care Act (ACA), the…
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CMS Announcement – Holding of 2015 Date-of-Service Claims – MPFS
by Margaret Klasa DC, APN BC While the Compliance Edge blog is typically reserved for original content authored by Margaret Klasa, DC, APN,…
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Detect Unusual Patterns in Service & Patient Volume in All Specialties
by Cindy Gallee, JD, RHIA, CHC Payers should not neglect reviewing dental claims for fraud, waste and abuse. An Office…
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