Context is Headed to the Plexis 2014 Users Conference in Ashland, OR
by Kate Armbruster Context4 Healthcare will showcase its FirstPass™ claim editing solution as an Integrated Partner exhibitor at the Plexis…
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CERT Program Monitors CMS FFS Improper Payments – $36 Billion in 2013
by Margaret Klasa DC, APN BC On July 9, 2014, the U.S. government was subject to a frenzy of media…
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Announcing Context’s New Blogs! Expert Analysis for Payers & Providers
by Kate Armbruster Context4 Healthcare is excited to announce the launch of three brand-new blogs designed to explore and analyze issues…
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4 Ways for Payers to Detect Fraudulent Therapy Services
by Cindy Gallee, JD, RHIA, CHC In a July 2014 news release, the Department of Justice announced the guilty plea…
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RAC Audit Identifies Overpayments for Billing Incorrect DME Codes
by Margaret Klasa DC, APN BC RAC Region C contractor Connolly posted 2 automated reviews for DME providers on April…
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Use of Clinical Editing to Identify Medical Necessity for Cetuximab
by Margaret Klasa DC, APN BC RAC Region B contractor CGI posted a semi-automated review on March 26, 2014, for…
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The High Cost of Spinal Surgery – Necessary or Potential Fraud?
by Cindy Gallee, JD, RHIA, CHC The number of spinal surgeries done in the U.S. has increased in a recent…
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Avoid Reimbursement Issues Due to Misused E/M Codes & Modifier -25
by Cindy Gallee, JD, RHIA, CHC Payers should pay particular attention to physician claims utilizing modifier 25 because this modifier…
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