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.

Announcing Context's New Blogs! Expert Analysis for Payers & Providers

  • by Kate Armbruster
  • Jul 29, 2014, 14:55 PM

Context 4 Healthcare  Announces New Blogs

Context 4 Healthcare is excited to announce the launch of three brand-new blogs designed to explore and analyze issues affecting the payer and provider communities. Sign up to receive email updates for one or all of our new blogs, and immediately benefit from the articles and analysis provided by Context's experts.

Context's Compliance Edge blog is focused on providers and industry issues associated with real-time clinical claim editing used to maximize reimbursements. This blog is authored by Context's Medical Director, Margaret Klasa, DC, APN, Bc.

Our FWA Briefs blog provides expertise to help payers recognize and avoid potential FWA scenarios before the claim is paid. This blog is authored by Context's Compliance Officer, Cindy Gallee, JD, RHIA, CHC.

Last but not least, this blog, Out of Context, highlights healthcare news and industry issues, as well as Context product information and announcements. This blog is authored by me - Kate Armbruster, FHIAS, PAHM - and I am a member of the Context Client Success team.

Margaret Klasa, DC, APN, Bc

Margaret Klasa DC APN Bc Context Medical Director

Marge Klasa DC, APN Bc Medical Director Dr. Klasa serves as the Medical Director for Context 4 Healthcare and leads Context’s medical content and compliance teams. Dr. Klasa’s expertise includes clinical and regulatory guidelines for Medicare, Medicaid, and commercial payers. Dr. Klasa has authored several health compliance articles and has presented for the Healthcare Information and Management Systems Society (HIMSS), the American Health Information Management Association (AHIMA), and the Radiological Society of North America (RSNA). Prior to Context, Dr. Klasa served as Director of Software Development for EMC Corporation (NYSE: EMC) and Captiva Software Corporation (NASDAQ: CPTV) where she advised senior management on healthcare industry trends and strategy. Dr. Klasa has more than 20 years of healthcare experience in private practice as a nurse practitioner and as a Chiropractic Physician.


Cindy Gallee, JD, RHIA, CHC

Cindy Gallee JD RHIA CHC Context Compliance Officer

Cindy Gallee, JD, RHIA, CHC Compliance Officer & Manager of Medical Content Ms. Gallee serves as the Compliance Officer and Manager of Medical Content for Context 4 Healthcare and brings 20 years of healthcare and legal experience to the position. Ms. Gallee oversees Context's HIPAA/HITECH compliance and risk management programs. She is also responsible for the legal and medical research of healthcare regulations impacting healthcare institutions to incorporate into the content of Context’s products. Prior to joining Context, Ms. Gallee managed the Contracts and Compliance function at Provena Mercy Medical Center. Prior to that, she was the Practice Administrator at a private medical practice and has held leadership positions in healthcare risk and legal claims management in both the hospital and insurance industries. Ms. Gallee is a licensed attorney in Illinois and has a Juris Doctor degree from DePaul University, as well as a Registered Health Information Administrator credential and a Certification in Healthcare Compliance.


Kate Armbruster, FHIAS, PAHM

Kate Armbruster FHIAS PAHM Context Client Success Team

Kate serves on the Client Success and Marketing teams for Context 4 Healthcare and brings 9+ years of healthcare experience to the role. She executes product implementation strategies and provides account support to editing and coding customers. Kate also contributes to Context’s website design, social media, outbound marketing, and content curating. Prior to Context, Kate investigated claim appeals at Blue Cross and Blue Shield of Illinois where she also served on an enterprise-wide project to evaluate existing IT strategies. Previously, Kate held marketing and sales roles for a community health center and for an independent insurance agency. Kate’s AHIP professional designations include: Fellow, Health Insurance Advanced Studies (FHIAS) – concentration in Medicare Marketing; Professional, Academy for Healthcare Management (PAHM) – concentration in Managed Care. Kate holds a B.A. degree in Marketing from Aurora University and studied English at Indiana University and Boston College.


About Context 4 Healthcare

Headquartered in the Chicago area, Context has more than 25 years of experience in software & data product development. Our solutions impact more than 4,000 clients & tens of millions of lives globally. Context’s solutions have been developed to address the industry challenges currently faced by healthcare payers & providers.

 

Our online  real-time  claim editing software contains millions of edit combinations identifying inaccurate billing practices, regulatory requirements & other errors. Delivered in a software as a service model, our editing is easily implemented.

 

Context produces a proprietary usual, customary & reasonable (UCR) fee schedule by analyzing billions of charges annually covering the U.S. & territories. Our nationally recognized UCR database identifies appropriate fees for millions of procedure combinations.

 

Our 100+ data products are a one-stop shop for your data & coding challenges, & provide the code sets required for accurate claim processing. Our proprietary ICD-10  solutions include crosswalk databases & our server-based ICD-10 compliant coding software.

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Announcing Context's New Blogs! Expert Analysis for Payers & Providers

  • by Kate Armbruster
  • Jul 29, 2014, 14:55 PM

Context 4 Healthcare  Announces New Blogs

Context 4 Healthcare is excited to announce the launch of three brand-new blogs designed to explore and analyze issues affecting the payer and provider communities. Sign up to receive email updates for one or all of our new blogs, and immediately benefit from the articles and analysis provided by Context's experts.

Context's Compliance Edge blog is focused on providers and industry issues associated with real-time clinical claim editing used to maximize reimbursements. This blog is authored by Context's Medical Director, Margaret Klasa, DC, APN, Bc.

Our FWA Briefs blog provides expertise to help payers recognize and avoid potential FWA scenarios before the claim is paid. This blog is authored by Context's Compliance Officer, Cindy Gallee, JD, RHIA, CHC.

Last but not least, this blog, Out of Context, highlights healthcare news and industry issues, as well as Context product information and announcements. This blog is authored by me - Kate Armbruster, FHIAS, PAHM - and I am a member of the Context Client Success team.

Margaret Klasa, DC, APN, Bc

Margaret Klasa DC APN Bc Context Medical Director

Marge Klasa DC, APN Bc Medical Director Dr. Klasa serves as the Medical Director for Context 4 Healthcare and leads Context’s medical content and compliance teams. Dr. Klasa’s expertise includes clinical and regulatory guidelines for Medicare, Medicaid, and commercial payers. Dr. Klasa has authored several health compliance articles and has presented for the Healthcare Information and Management Systems Society (HIMSS), the American Health Information Management Association (AHIMA), and the Radiological Society of North America (RSNA). Prior to Context, Dr. Klasa served as Director of Software Development for EMC Corporation (NYSE: EMC) and Captiva Software Corporation (NASDAQ: CPTV) where she advised senior management on healthcare industry trends and strategy. Dr. Klasa has more than 20 years of healthcare experience in private practice as a nurse practitioner and as a Chiropractic Physician.


Cindy Gallee, JD, RHIA, CHC

Cindy Gallee JD RHIA CHC Context Compliance Officer

Cindy Gallee, JD, RHIA, CHC Compliance Officer & Manager of Medical Content Ms. Gallee serves as the Compliance Officer and Manager of Medical Content for Context 4 Healthcare and brings 20 years of healthcare and legal experience to the position. Ms. Gallee oversees Context's HIPAA/HITECH compliance and risk management programs. She is also responsible for the legal and medical research of healthcare regulations impacting healthcare institutions to incorporate into the content of Context’s products. Prior to joining Context, Ms. Gallee managed the Contracts and Compliance function at Provena Mercy Medical Center. Prior to that, she was the Practice Administrator at a private medical practice and has held leadership positions in healthcare risk and legal claims management in both the hospital and insurance industries. Ms. Gallee is a licensed attorney in Illinois and has a Juris Doctor degree from DePaul University, as well as a Registered Health Information Administrator credential and a Certification in Healthcare Compliance.


Kate Armbruster, FHIAS, PAHM

Kate Armbruster FHIAS PAHM Context Client Success Team

Kate serves on the Client Success and Marketing teams for Context 4 Healthcare and brings 9+ years of healthcare experience to the role. She executes product implementation strategies and provides account support to editing and coding customers. Kate also contributes to Context’s website design, social media, outbound marketing, and content curating. Prior to Context, Kate investigated claim appeals at Blue Cross and Blue Shield of Illinois where she also served on an enterprise-wide project to evaluate existing IT strategies. Previously, Kate held marketing and sales roles for a community health center and for an independent insurance agency. Kate’s AHIP professional designations include: Fellow, Health Insurance Advanced Studies (FHIAS) – concentration in Medicare Marketing; Professional, Academy for Healthcare Management (PAHM) – concentration in Managed Care. Kate holds a B.A. degree in Marketing from Aurora University and studied English at Indiana University and Boston College.


About Context 4 Healthcare

Headquartered in the Chicago area, Context has more than 25 years of experience in software & data product development. Our solutions impact more than 4,000 clients & tens of millions of lives globally. Context’s solutions have been developed to address the industry challenges currently faced by healthcare payers & providers.

 

Our online  real-time  claim editing software contains millions of edit combinations identifying inaccurate billing practices, regulatory requirements & other errors. Delivered in a software as a service model, our editing is easily implemented.

 

Context produces a proprietary usual, customary & reasonable (UCR) fee schedule by analyzing billions of charges annually covering the U.S. & territories. Our nationally recognized UCR database identifies appropriate fees for millions of procedure combinations.

 

Our 100+ data products are a one-stop shop for your data & coding challenges, & provide the code sets required for accurate claim processing. Our proprietary ICD-10  solutions include crosswalk databases & our server-based ICD-10 compliant coding software.


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