Skip to Menu Skip to Content
Context4 Healthcare Logo
  • (800) 783-3378
  • Client Login
  • Contact Us
  • Home
  • About
    • About Us
    • Our Management Team
  • Health Industries
    • Payers
    • Medicaid – States & MCOs
    • Health Systems
      • Revenue Cycle Management
      • Physician Fee Reports
      • Advanced Medical Coding Software – CodeLink®
    • Life Care Planners
  • Solutions
    • Payment Integrity™
      • Medical Payment Integrity™
      • Dental Payment Integrity™
    • Reference-Based Pricing
      • Context4 Reference-Based Pricing
      • UCR Fee Data
    • Healthcare Master Data
  • Partners
  • Resources
    • Blog
    • News
    • Newsletter
    • Careers
  • Client Success
    • Testimonials
    • Technical Support
  • Search Our Site
  • Home
  • About
    • About Us
    • Our Management Team
  • Health Industries
    • Payers
    • Medicaid – States & MCOs
    • Health Systems
      • Revenue Cycle Management
      • Physician Fee Reports
      • Advanced Medical Coding Software – CodeLink®
    • Life Care Planners
  • Solutions
    • Payment Integrity™
      • Medical Payment Integrity™
      • Dental Payment Integrity™
    • Reference-Based Pricing
      • Context4 Reference-Based Pricing
      • UCR Fee Data
    • Healthcare Master Data
  • Partners
  • Resources
    • Blog
    • News
    • Newsletter
    • Careers
  • Client Success
    • Testimonials
    • Technical Support
  • Search Our Site
  • (800) 783-3378
  • Client Login
  • Contact Us

Reset
Default Thumbnail

The Cancer in Health Care Fraud: Genetic Testing

  • February 28, 2025
  • Blog

In a 2019, one of the largest Health Care Fraud schemes ever charged, federal investigations and prosecutions resulted in charges…

Learn More
canstockphoto25652629

Monitor Potential FWA: Overutilization of High-Level Codes

  • September 13, 2023
  • Blog

by Steve Nesnidal, MD, CPC, AHFI A common Fraud, Waste and Abuse (FWA) pattern detection involves monitoring for and analyzing…

Learn More
fake doctor, quack or charlatan in hospital office. medical crime, illegal health care, insurance fraud, negligence, treatment error or malpractice.

NPI Guidance Can Help Your FWA Detection

  • July 24, 2023
  • Blog

by John Danza CMS recently released a guidance letter concerning if HIPAA rules would prohibit a health plan from requiring…

Learn More
helloquence 61189 unsplash

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.

Learn More
istock 000009317132small

Dental Fraud in Medicaid

  • May 9, 2023
  • Blog

A multi-million dollar dental fraud scheme provides an example to the benefits of having fraud, waste, and abuse (FWA) protection. Click to learn more.

Learn More
bigstock man working on computer late

Why Fraud Analytics Are Important to You

  • October 17, 2022
  • Blog

by John Danza The U.S. Department of Justice recently issued a press release about guilty pleas for people involved in…

Learn More
fake doctor, quack or charlatan in hospital office. medical crime, illegal health care, insurance fraud, negligence, treatment error or malpractice.

Impact of Policy Adjustments on Telehealth Fraud

  • September 10, 2021
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Early in the Coronavirus pandemic, telehealth restrictions were significantly relaxed by federal and most major commercial payers.  This enabled more…

Learn More
remote medicine concept.

Audits of Telehealth Services During COVID-19

  • June 29, 2021
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Starting January 27, 2020, in response to the Novel Coronavirus pandemic, the Department of…

Learn More
nutritionist is consulting the patient about healthy diet with vegetables and fruits

Fighting Fraud in Medical Nutrition Therapy

  • April 27, 2021
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Nutrition can play a key role in many diseases. The role of nutrition in…

Learn More
open hand raised, stop fraud sign painted, multi purpose concept

Impact of the COVID-19 Pandemic on Healthcare Fraud

  • April 7, 2021
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Even before the COVID-19 pandemic, healthcare fraud, waste and abuse (FWA) was already a…

Learn More
ahfi

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

  • July 28, 2020
  • Blog

by John Danza Context4 Healthcare is thrilled to announce that our Medical Director Dr. Steve Nesnidal has earned certification as an…

Learn More
teledentistrygraphic v3

2021 Dental CDT Code Changes Include New Image Capture Only Codes

  • July 13, 2020
  • Blog

by Steve Nesnidal, MD, CPC, AHFI The American Dental Association® (ADA) will add 28 new CDT codes effective January 1, 2021,…

Learn More
Next ›

Subscribe to Our Blog:

Connect with Us

  • LinkedIn
  • X
  • Facebook

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
context logo
  • Home
  • About
    • About Us
    • Our Management Team
  • Health Industries
    • Payers
    • Medicaid – States & MCOs
    • Health Systems
      • Revenue Cycle Management
      • Physician Fee Reports
      • Advanced Medical Coding Software – CodeLink®
    • Life Care Planners
  • Solutions
    • Payment Integrity™
      • Medical Payment Integrity™
      • Dental Payment Integrity™
    • Reference-Based Pricing
      • Context4 Reference-Based Pricing
      • UCR Fee Data
    • Healthcare Master Data
  • Partners
  • Resources
    • Blog
    • News
    • Newsletter
    • Careers
  • Client Success
    • Testimonials
    • Technical Support
  • Search Our Site

Context4 Healthcare, Inc.

  • 55 Shuman Blvd., Suite 650
    Naperville, IL 60563
  • (800) 783-3378
  • (630) 654-1607

Copyright © 2025 Context⁴ Healthcare, Inc. All Rights Reserved. Website by

  • Privacy Policy
  • Terms and Conditions
  • Sitemap
Context4 Healthcare Logo
  • (800) 783-3378
  • Client Login
  • Contact Us
  • Home
  • About
    • About Us
    • Our Management Team
  • Health Industries
    • Payers
    • Medicaid – States & MCOs
    • Health Systems
      • Revenue Cycle Management
      • Physician Fee Reports
      • Advanced Medical Coding Software – CodeLink®
    • Life Care Planners
  • Solutions
    • Payment Integrity™
      • Medical Payment Integrity™
      • Dental Payment Integrity™
    • Reference-Based Pricing
      • Context4 Reference-Based Pricing
      • UCR Fee Data
    • Healthcare Master Data
  • Partners
  • Resources
    • Blog
    • News
    • Newsletter
    • Careers
  • Client Success
    • Testimonials
    • Technical Support
  • Search Our Site