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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…

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Potential Overpayment Patterns: Non-Physician Assistant at Surgery

  • August 15, 2024
  • Blog

by Steve Nesnidal, MD, CPC, AHFI A non-physician assistant at surgery–physician’s assistant (PA), nurse practitioner (NP), or clinical nurse specialist…

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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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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,…

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Alert: New COVID-19 ICD-10-CM Diagnosis Code, CPT® and HCPCS Codes

  • June 2, 2020
  • Blog

by Steve Nesnidal, MD, CPC, AHFI In response to the Novel Coronavirus pandemic, a new ICD-10-CM code was moved up…

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Combating Overutilization of Healthcare Resources

  • February 4, 2019
  • Blog

by Steve Nesnidal, MD, CPC, AHFI Overutilization in Healthcare is a problem which has been estimated to cost in the…

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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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Healthcare Fraud and Abuse Schemes – How to Spot the Patterns

  • March 9, 2018
  • Blog

by Emilia Burlasz Before the use of electronic claim submissions and EHRs, the only option payers had to detect fraud,…

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Dental FWA – Upcoding, Misrepresentation and Diagnosing Unnecessary Treatment

  • January 16, 2018
  • Blog

by Cindy Gallee, JD, RHIA, CHC Dental fraud, waste, and abuse (FWA) is often unchecked as most Payer’s dental insurance…

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Virtual Benefits Administrator and Context⁴  Healthcare, Inc. announce real-time Medicare pricing automation

  • October 4, 2017
  • News

Available now for all VBA software subscribers.  NAPERVILLE, IL, (October 4, 2017) – Virtual Benefits Administrator and Context⁴  Healthcare, Inc. are pleased to…

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Virtual Benefits Administrator and Context4 Healthcare, Inc. announce real-time Medicare pricing automation

  • October 4, 2017
  • Blog

by John Danza Virtual Benefits Administrator and Context4 Healthcare, Inc. are pleased to announce the release of real-time Medicare and UCR pricing….

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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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