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Medical Coding and Compliance Experts 100+ Healthcare Data Products
Payment Integrity FWA Analytics
Program Integrity
UCR
Medicare
Pricing
29 Years of Compliance Innovation
MACHINE LEARNING
Complex & Costly
Less Data = Limited Success
Expensive & Scarce
Requires complex software and infrastructure
Requires high volumes of data to “train” the system
Requires hard-to-find healthcare data scientists
FLIP YOUR FWA MODEL WITH CONTEXT
In House Data Scientists
On Premise Infrastructure
High Cost Infrastructure
Internally Focused Algorithms
Patterns Based Solely on
Internal Data
Current FWA Model
Data Science Included in the SaaS Service
Context Payment Integrity
Cloud Based
Up to 75% Lower Detection Cost
Industry Focused Algorithms
Patterns Based on Experience
Spanning Multiple Plans and
Payers
REDIRECT SAVINGS INTO YOUR SIU!
PROGRAM INTEGRITY FRAMEWORK
Detect 25% - 75%
more aberrations
Up to 75% lower
detection cost
Persist for
lightening fast
processing
Pass aberrations
electronically
ADVANCED COMPLIANCE AND CODING SCIENCE -
BETTER INTELLIGENCE FROM CLAIMS
Claim
Claim
Claim
Claim
C4 Payment Integrity
Platform
Detect 25% - 75%
More Aberrations Aberrations
LET US PROVE IT TO YOU!
Even with post-adjudicated claims our experience shows
25% - 75% should not have been paid
Contact Us Now!
Talk to an Expert
www.context4healthcare.com/about/contact-us
Sales@context4.com
800.783.3378

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How to find a better FWA model

  • 1. Medical Coding and Compliance Experts 100+ Healthcare Data Products Payment Integrity FWA Analytics Program Integrity UCR Medicare Pricing 29 Years of Compliance Innovation
  • 2. MACHINE LEARNING Complex & Costly Less Data = Limited Success Expensive & Scarce Requires complex software and infrastructure Requires high volumes of data to “train” the system Requires hard-to-find healthcare data scientists
  • 3. FLIP YOUR FWA MODEL WITH CONTEXT In House Data Scientists On Premise Infrastructure High Cost Infrastructure Internally Focused Algorithms Patterns Based Solely on Internal Data Current FWA Model Data Science Included in the SaaS Service Context Payment Integrity Cloud Based Up to 75% Lower Detection Cost Industry Focused Algorithms Patterns Based on Experience Spanning Multiple Plans and Payers REDIRECT SAVINGS INTO YOUR SIU!
  • 4. PROGRAM INTEGRITY FRAMEWORK Detect 25% - 75% more aberrations Up to 75% lower detection cost Persist for lightening fast processing Pass aberrations electronically
  • 5. ADVANCED COMPLIANCE AND CODING SCIENCE - BETTER INTELLIGENCE FROM CLAIMS Claim Claim Claim Claim C4 Payment Integrity Platform Detect 25% - 75% More Aberrations Aberrations
  • 6. LET US PROVE IT TO YOU! Even with post-adjudicated claims our experience shows 25% - 75% should not have been paid
  • 7. Contact Us Now! Talk to an Expert www.context4healthcare.com/about/contact-us Sales@context4.com 800.783.3378