Blog

by Cindy Gallee, JD, RHIA, CHC There are a number of ways a dermatology claim for Mohs surgery can be…

by Kate Armbruster Context4 Healthcare Inc. will showcase its Fraud, Waste & Abuse (FWA) solutions as an exhibitor at the National…

by Margaret Klasa DC, APN BC In the past, Medicare has allowed only one Evaluation and Management (E/M) visit per…

by Cindy Gallee, JD, RHIA, CHC If you are seeing claims for the treatment of Kwashiorkor, you may want to…

by Cindy Gallee, JD, RHIA, CHC “Unbundling” is a hot topic within the healthcare community and is considered fraudulent if…

by Kate Armbruster Context4 Healthcare will showcase its payer solutions as an exhibitor at the SIIA 34th Annual National Educational Conference &…

by Cindy Gallee, JD, RHIA, CHC Recently, a fraud scheme was uncovered in Virginia involving a substance abuse clinic and…

by Margaret Klasa DC, APN BC On August 15, 2014, the Centers for Medicare & Medicaid Services (CMS) introduced four new Healthcare…

by Cindy Gallee, JD, RHIA, CHC Outpatient physical therapy claims present an area that has long been fraught with the…

by Cindy Gallee, JD, RHIA, CHC Antiretroviral drugs, used to treat Human Immunodeficiency Virus (HIV), have recently come under scrutiny…

by Kate Armbruster Context4 Healthcare will showcase its FirstPass™ claim editing solution as an Integrated Partner exhibitor at the Plexis…

by Cindy Gallee, JD, RHIA, CHC Payers can detect fraudulent billing schemes by analyzing certain CPT codes that are used in conjunction…