Context4healthcare.com
Innovative Healthcare Solutions Payment Integrity
WebContext 4 Healthcare is a leader in real-time healthcare compliance. We provide Dental, Medicaid, Medicare, and other Fraud, Waste and Abuse solutions.
Actived: 5 days ago
Payment Integrity & Pricing Solutions for Healthcare …
WebThe Context 4 Health Plans Suite is a modular solution built on a single integrated technology platform. With over 30 years in the industry and a team of the best software developers and healthcare experts, we’ve created a cloud-based software solution that is flexible, secure, and easy to implement. Payers can choose to utilize Payment
Accurate & Up-to-date Healthcare Data Context 4 …
WebClient Customized + More. Since 1994, Context 4 Healthcare has been the industry’s trusted source for accurate, timely, and relevant healthcare data. Hundreds of payers, providers, and software developers nationwide choose our data to drive value and support compliance. What would better data do for your organization? Learn More Read the
Payment Integrity for state Medicaid systems and MCOs
WebThe Center for Medicare and Medicaid Services (CMS) has committed itself to Program Integrity (PI), promoting modular solutions for state Medicaid systems (MMIS) to encourage reuse among states, minimize customization and increase competition. Errant payments from fraud, waste, and abuse (FWA) costs health plans as much as $360 Billion each
About Context 4 Healthcare Company Overview
WebAbout Us. Headquartered in the Chicago suburb of Naperville, IL, Context 4 Healthcare, Inc. has more than 35 years of experience in developing software & data products for healthcare compliance. Our solutions positively impact thousands of clients & tens of millions of lives each year. Context’s solutions have been developed to address the
Management Team Context 4 Healthcare
WebOur Management Team. Context 4 Healthcare's leadership team consists of industry-leading healthcare compliance experts and innovators. Mr. Earles founded Context 4 Healthcare as part of the acquisition of healthcare coding and reimbursement assets from EMC Corporation (NYSE: EMC) and has since served as Context’s President and Chief …
ADVANCED MEDICAL CODING SOFTWARE
WebCodeLink ® Online. CodeLink ® Online advanced medical coding software generates CPT ® and ICD code data to expedite claim submission and minimize denials. CodeLink ® Online is the #1 preferred coding solution for medium to large coding shops due to its intuitive user interface and licensing model. It is purposely organized to look and feel like …
Careers at Context 4 Healthcare
WebContext 4 Healthcare is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, citizenship status, sex, sexual orientation, gender identity and expressions, genetic information, marital status, age, disability, or status as a covered veteran
Healthcare Fraud and Abuse Schemes – How to Spot the Patterns
WebContext’s Payment Integrity Solution identifies potential fraud, waste and abuse patterns by separating out those providers and/or members who appear to be systematically abusing the plan. Context 4 Healthcare Payment Integrity Solution does this by allowing payers to better detect aberrant patterns in claim and encounter data.
When fraud causes patient harm, and how to find it before it does
WebIt’s been called the most sinister, the most egregious, the worst kind of health care fraud – providers performing medically unnecessary procedures. When this type of fraud makes the headlines, it is indeed sensational. “Doctor who gave chemo to healthy patients faces sentencing;”1. “Doctor who ordered unnecessary heart surgery and
Medicare Reference-based Pricing UCR RBP Context 4 Healthcare
WebComprehensive and Adaptable. If it’s Medicare reference-based pricing (RBP) you need, Context 4 Reference-Based Pricing uses the CMS Prospective Payment Systems within our real-time processing engine to calculate the pricing. For UCR RBP, we use our industry-leading UCR data. Either way, you get accurate and real-time pricing results.
Impact of the COVID-19 Pandemic on Healthcare Fraud
Webby Steve Nesnidal, MD, CPC, AHFI. Apr 7, 2021, 15:51 PM. Even before the COVID-19 pandemic, healthcare fraud, waste and abuse (FWA) was already a major drain on the US healthcare system. The National Health Care Anti-Fraud Association (NHCAA) estimates the financial losses due to healthcare FWA are in the tens of billions of dollars …
Combating Overutilization of Healthcare Resources
WebOverutilization in Healthcare is a problem which has been estimated to cost in the range of hundreds of billions of US dollars every year. Despite historically spending more than double per person on healthcare than the average developed country, our outcomes have not been significantly better (1).To improve, specialty organizations publish clinical …
SOFTWARE ALLIANCE PARTNERS
WebSoftware Alliance Partners | Accelerating Time-to-Benefit | Context 4 Healthcare. SOFTWARE ALLIANCE PARTNERS. We've partnered with the industry's leading solutions providers who have created seamless integration to our Payment Integrity platform, our real-time UCR and Medicare reference-based pricing platform, and data products to support …
Context4 Healthcare, Inc. presents the procedure code changes for …
WebNAPERVILLE, Ill, (December 16, 2021) – Context4 Healthcare, Inc., a leading provider of healthcare compliance and pricing solutions, announces today the completion of a series of presentations on the important procedure code changes for 2021. Dr. Steve Nesnidal, Context’s Medical Director and leader of the Medical Content and Compliance team, …
Alert: New ICD-10-CM Emergency Code Added for Vaping …
WebR61 Generalized hyperhidrosis (night sweats) R63.4 Abnormal weight loss. R68.83 Chills (without fever) In response to vaping related illnesses, the World Health Organization (WHO) committees decided to add an emergency code to the base version of ICD-10 that became valid for immediate use as of September 24, 2019.
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