FWA Briefs

In a 2019, one of the largest Health Care Fraud schemes ever charged, federal investigations and prosecutions resulted in charges…

NAPERVILLE, Ill, (February 13, 2025) – Context4 Healthcare is proud to announce today the successful completion of the 30th year…

In a recent healthcare fraud case, from a short timeframe of November 2022 through May 2024, over $1.2 billion dollars…

by Steve Nesnidal, MD, CPC, AHFI Medical coding provides several important functions in healthcare. One of the main functions is…

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

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

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

by Steve Nesnidal, MD, CPC, AHFI Dr. Steve Nesnidal of Context4 Healthcare, Inc. presented at the 2023 NHCAA Annual Training…

by Steve Nesnidal, MD, CPC, AHFI A common Fraud, Waste and Abuse (FWA) pattern detection involves monitoring for and analyzing…

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

by John Danza CMS recently released a guidance letter concerning if HIPAA rules would prohibit a health plan from requiring…

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.