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The Graft is On in Skin Graft Billing Fraud

  • February 14, 2025
  • Blog

In a recent healthcare fraud case, from a short timeframe of November 2022 through May 2024, over $1.2 billion dollars…

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Fraud Spotlight: Why Modifier 25 FWA Continues

  • June 7, 2023
  • Blog

A pain management practice will pay $625k from a False Claims Act violation. Similar cases give an importance to Fraud, Waste, and Abuse (FWA) protection, and the use of E/M codes would have detected an abnormality on similar claims. Read more to find out how.

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female doctor examining an elderly patient.

Evaluation and Management with Psychotherapy

  • September 26, 2022
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Per CPT1, “Psychotherapy is the treatment of mental illness and behavioral disturbances in which…

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The Latest Three COVID-19 Vaccine Codes from the AMA

  • February 2, 2022
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Throughout the course of the COVID-19 pandemic, the AMA has released many COVID-19 related…

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injections in the arm to treat the disease.

New COVID-19 Vaccine Codes Released, Effective Pending FDA Approval

  • November 17, 2020
  • Blog

by Steve Nesnidal, MD, CPC, AHFI AMA has released a series of new, unique CPT Category I codes for use in reporting…

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Recent Posts

  • Don’t Be Taken for a Ride with Non-Emergency Medical Transportation Fraud
  • The Cancer in Health Care Fraud: Genetic Testing
  • Context 4 Healthcare, Inc. announces over 30 years of Usual, Customary, & Reasonable (UCR) Leadership
  • The Graft is On in Skin Graft Billing Fraud
  • Bad Coding: A Fine Line Between Error And FWA
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  • (800) 783-3378
  • Client Login
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  • Home
  • About
    • About Us
    • Our Management Team
  • Health Industries
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    • Medicaid – States & MCOs
    • Health Systems
      • Revenue Cycle Management
      • Physician Fee Reports
      • Advanced Medical Coding Software – CodeLink®
    • Life Care Planners
  • Solutions
    • Payment Integrity™
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      • Dental Payment Integrity™
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      • Context4 Reference-Based Pricing
      • UCR Fee Data
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