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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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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…

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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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Keeping a watchful eye on telehealth claims

  • June 5, 2018
  • Blog

by Cindy Gallee, JD, RHIA, CHC Telemedicine has grown significantly in recent years due to new technologies and consumer demand. …

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When fraud causes patient harm, and how to find it before it does

  • April 17, 2018
  • Blog

by Cindy Gallee, JD, RHIA, CHC It’s been called the most sinister, the most egregious, the worst kind of health…

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Context Goes to Washington as Exhibitor at 35th Annual SIIA Conference

  • October 14, 2015
  • Blog

by John Danza Context4 Healthcare, Inc. will showcase its claim compliance and reimbursement solutions for the payer market as an exhibitor at…

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Recent Posts

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  • Bad Coding: A Fine Line Between Error And FWA
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  • (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
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