Context 4 Healthcare, Inc.

Start off the new year with a new opportunity! We are currently looking for a Manager of Product Management to join our ever growing team! Learn more and apply today:?https://lnkd.in/gHMV7t2h #hiring #jobseekers #recruiting #applynow #applytoday

Our very own Director of Channel Sales Michael Tuomey will be around this year's Self-Insurance Institute of America Spring Forum in Tampa! Be sure to stop him when you see him to talk more about all of our industry-leading solutions that can help empower your organization today! Contact us to learn more today:?https://lnkd.in/gS5KzFxS

SIIA’s Spring Forum is next week and will be the largest gathering of self-insurance industry professionals for the first half of 2025. Context 4 Healthcare, Inc. looks forward to attending and be sure to meet with our Director of Channel Sales, Mike Tuomey, to discuss your Payment Integrity/FWA (claims editing), Referenced-based Pricing (Medicare and/or UCR) and Healthcare Master Data needs. Schedule a time to meet Mike there at: https://lnkd.in/gS5KzFxS

Having a quality payment integrity platform is essential for making sure claims are paid per contract terms and without wasteful, abusive practices, or fraudulent intent, but unfortunately, health plans experience these every day. With Context? Medical Payment Integrity we can help mitigate that risk with our combination of a deep library of pre-built rules with an array of pre-built analytics and user driven extracts to help your plan identify potential FWA situations. Our team will be able to detect and inform you of these themes quickly, increasing the efficiency of your operations and lowering costs. Learn more about how Payment Integrity can help you today: https://lnkd.in/ge9wRN3Z #healthcare #medical #payments #claims

In this month's FWA Brief, our team of experts look into one of the largest healthcare fraud schemes on record, which amounted to over $2.1 billion in fraudulent claims for cancer genetic testing that were medically unnecessary. Because these tests have one of the highest rates of reimbursements, they can be a target for large schemes like this. Read the full blog and subscribe today to never miss a future post: https://lnkd.in/gskc8KCR #blogs #subscribe #healthcare #claims

Dental Fraud, Waste, and Abuse (FWA) has been on the rise, with costs to health plans being as much as $12.5 billion every year, how are you keeping your plan from being at risk? Our Context? Dental Payment Integrity Solution can help mitigate that risk. It's built with the help of our dental benefits experts that contains a full array of rules and analytics to help safeguard your dental plan. You'll know of potentially fraudulent claims before you pay. Protect your plan today: https://lnkd.in/epZXBXqm #healthcare #payments? #dental #integrity

With the growing shortage of trained coders and billers, the call for better cash flow rises with improperly coded medical claims and decreased reimbursements. With nearly 30% of all medical claims are improperly coded, these challenges can become compounded and overwhelming for your company. Context? Healthcare's CodeLink? Online is the best and a preferred coding solution because of its easy cloud-based access, licensing model, and intuitive user interface. You'll be able to speed up your claim submissions with higher accuracy. Learn more about how CodeLink? Online can help you today: https://lnkd.in/gEyQSEQN #medical #coding #software #healthcare

Context 4 Healthcare, Inc. is honored to announce that we are celebrating 30 years of being an industry leader in Usual, Customary, and Reasonable (UCR) data! Since 1994, Context has been a trusted source for dependable and accepted UCR data, and continues to strive to ensure our customers have the most defensible and up-to-date data that's derived straight from provider transactions. Are you ready to find out of the Context difference? Contact us to learn more today: https://lnkd.in/gS5KzFxS Read the full press release: https://lnkd.in/g_eDAYv8

In this month's blog, our team of experts dive into a case that occurred from November 2022 to May 2024, where there were over $1.2 billion in false and fraudulent claims submitted to health insurance involving unnecessary skin grafts. Because of the high reimbursement rate, fraudsters target these procedures as the amounts can quickly balloon per patient. Read the blog and subscribe today to never miss future posts: https://lnkd.in/gM8A_BHc

Just like you, many of our customers have asked this same question, and in today's healthcare environment, you need the most defensible, comprehensive, and up-to-date fee data to re-price claims. Context 4 Healthcare, Inc. offers UCR Fee Data that helps solve this issue, which uses a proven statistical methodology that analyzes billions of provider charges to ensure payers have the most defensible fee data available. You can use the best UCR in the industry while being compliant with No Surprise Billing regulations. To find out more:?https://lnkd.in/gS5KzFxS #data #medical #database #medical #dental