Solutions
to empower your organization

Payment Integrity
Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts.

Pricing
Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution.

Healthcare Data
More than 100 healthcare data sets, with professional support to optimize efficiency and compliance.

Medical Coding
Advanced medical coding software designed to expedite claim submission and minimize denials.

Insights
from our team of experts
The Graft is On in Skin Graft Billing Fraud
February 14, 2025
In a recent healthcare fraud case, from a short timeframe of November 2022 through May 2024, over $1.2 billion dollars...
Bad Coding: A Fine Line Between Error And FWA
September 17, 2024
by Steve Nesnidal, MD, CPC, AHFI Medical coding provides several important functions in healthcare. One of the main functions is...
Potential Overpayment Patterns: Non-Physician Assistant at Surgery
August 15, 2024
by Steve Nesnidal, MD, CPC, AHFI A non-physician assistant at surgery–physician’s assistant (PA), nurse practitioner (NP), or clinical nurse specialist...
Success
stories from our clients

“The extensive and up-to-date UCR database provided by Context4 Healthcare is complimented by their fast and knowledgeable customer service.”

“Amazing customer service! Thanks so much for the quick feedback and for resolving the issue so quickly, you knew just how to help.”

“Context4 Healthcare’s Claims Editor is a one-of-a-kind solution. The real-time edits and ability to create in-house rules have played a major part in reducing our denial rate.”

“When asked by a potential client recently who we used for our UCR Fee data, we told them Context4 Healthcare. The potential client was very pleased and it gave us one up on the competition.”