OIG Work Plan FY-2017 – Monitoring Claims for Potential Fraud
by Cindy Gallee, JD, RHIA, CHC The Office of Inspector General (OIG) Work Plan for Fiscal Year 2017 provides useful…
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Context4 Healthcare, Inc. announces the latest addition to the Medicare pricing capability of the DecisionPoint Pricing System – Skilled Nursing Facility
by John Danza Context4 Healthcare, Inc., a leading provider of healthcare compliance and pricing solutions, announces today the implementation of…
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New HCPCS Modifiers for 2017 Impact Reimbursement Rates
by Margaret Klasa DC, APN BC The Centers for Medicare & Medicaid Services (CMS) has established 2 new HCPCS modifiers that…
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Context4 Healthcare, Inc. announces the latest addition to the Medicare pricing capability of the DecisionPoint Pricing System – End Stage Renal Disease
by John Danza Context4 Healthcare, Inc., a leading provider of healthcare compliance and pricing solutions, announces today the implementation of…
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Context to Showcase Dental UCR as Exhibitor at NADP Conference
by Kate Armbruster Context4 Healthcare will showcase its Dental UCR solution as an exhibitor at the National Association of Dental Plans (NADP) Converge…
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ICD-10 Grace Period: The End is Near
by Margaret Klasa DC, APN BC On October 1, 2016, the joint initiative between the Centers for Medicare and Medicaid Services (CMS)…
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Finding Healthcare Fraud in ICD-10 Using ICD-9 Investigation Schemas
by John Danza An ongoing concern within every payer’s special investigation unit (SIU) has been how to adapt existing investigations…
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Combat Hospice Fraud with Careful Review of Claims
by Cindy Gallee, JD, RHIA, CHC As long as there is profit incentive, fraud by wrongdoers can enter into the…
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RAC Procurement Updates – New Contracts Under Pre-Award Protest
by Margaret Klasa DC, APN BC It is almost the end of the year and no new Recovery Audit Contractors…
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MACs Revise LCDs Due to ICD-10 Errors Reported After Transition Date
by Margaret Klasa DC, APN BC The October 1, 2015, ICD-10 mandated code change caused some issues for 8 of…
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Context to Attend ICAHN 2015 CAH Conference in Springfield, IL
by Kate Armbruster Context4 Healthcare, Inc.is set to attend the 2015 CAH Conference, presented by the Illinois Critical Access Hospital Network (ICAHN), being held…
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Outsourced Coding Vendors Face ICD-10 Challenges Related to Transition
by Margaret Klasa DC, APN BC The October 1, 2015 implementation date for ICD-10 has finally come and gone. While…
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