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The Federal Hospice Fraud Problem in the United States

  • June 25, 2024
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Fraud, Waste and Abuse (FWA) in Hospice is a significant US Healthcare problem. CMS…

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Medicare Reference-based Pricing RAND Study

  • June 11, 2024
  • Blog

by John Danza As a leader in the Medicare reference-based pricing (RBP) space, Context is frequently asked two questions: Our…

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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…

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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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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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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…

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Recent Posts

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