FWA Briefs

Find news and solutions for healthcare payers and providers. Recognize and avoid potential fraud, waste, and abuse scenarios. Real-time clinical claim editing are analyzed to maximize provider reimbursements.

Potential Overpayment Patterns: Non-Physician Assistant at Surgery

  • Steve Nesnidal, MD, CPC, AHFI
  • Aug 15, 2024
  • Comments
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Reviewing patterns of overpayment from providers who incorrectly select modifiers when billing for insurance.

Medicare Reference-based Pricing RAND Study

  • John Danza
  • Jun 11, 2024
  • Comments
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Using the RAND Corporation's newest study to understand payer questions involving Medicare Reference-based Pricing.

Context 4 Healthcare and vendor partner VBA Host a Webinar on Reference-Based Pricing

  • John Danza
  • Aug 04, 2020
  • Comments
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Context 4 Healthcare and VBA co-host webinar on Reference-Based Pricing.

Payment Integrity and ACO Success

  • Margaret Klasa DC, APN BC
  • Apr 27, 2017
  • Comments
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An ACO must show that the care given to the patient has achieved its quality measures.

Context 4 Healthcare, Inc. announces the latest addition to the Medicare pricing capability of the DecisionPoint Pricing System – Skilled Nursing Facility

  • John Danza
  • Dec 05, 2016
  • Comments
DecisionPoint Pricing System

Context 4 Healthcare, Inc., a leading provider of healthcare compliance and pricing solutions, announces today the implementation of the Skilled Nursing Facility Medicare Prospective Payment System (PPS) as the latest addition to Context’s DecisionPoint Pricing System™. This latest addition further expands the DecisionPoint Pricing System, the first solution in the healthcare industry to provide automated, real-time access to accurate Medicare fees for pricing healthcare claims duri ...

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