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Mole Removal Claim Fraud Nets Jail and Fines

  • August 3, 2023
  • Blog

by Steve Nesnidal, MD, CPC, AHFI A suburban Chicago doctor will spend 6 months in jail and pay a $1…

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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…

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Medicare and Maine Medicaid Healthcare Fraud Settlement Case

  • May 17, 2023
  • Blog

A Maine family practitioner used false claims billed to Medicare and Medicaid for services that were either not provided or not medically necessary, which provides reasons for the need of Fraud, Waste, and Abuse (FWA) protection.

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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…

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Recent Posts

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  • 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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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
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  • Client Success
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