ClaimsEditor^® includes the Windows-based Professional edition and a Software as a Service (SaaS) version. The product plays an instrumental role across the healthcare industry by utilizing the most advanced and comprehensive clinical editing technology available to ensure that claims are properly coded and are in accordance with applicable state Medicare, Medicaid, and other third-party payer rules and regulations. The unique editing, claims correction, reporting, and workflow management capabilities in the ClaimsEditor^® products deliver significant cost and compliance advantages for individual providers and provider organizations, and provide quantifiable benefits to all users within all segments of healthcare.

The ClaimsEditor^® RAC Audit solution is an online tool that allows healthcare providers to upload their claims in various electronic file formats. Healthcare providers are then able to quickly asses their pre-RAC audit risk and liability on claims already processed and paid by Medicare. Furthermore, this process helps healthcare providers reduce their risks and liabilities and keeps their claims processing activities moving forward. The ClaimsEditor^® RAC Audit solution is the most advanced and comprehensive clinical editing technology available to healthcare providers.

For over a decade, CodeLink^® has been the number one choice for healthcare service providers and medical claims coders, and has also been selected by more practice management systems vendors than any other comparable system. CodeLink now offers new claims editing features within the application that provide additional information on the precise codes and claim information selected by the user.

The Context⁴ Healthcare Inc. line of knowledge and fee products is the most comprehensive source of coding information available today. Whether users need the latest CPT^®, HCPCS, or ICD-9-CM codes, or specific-fee information, Context⁴ provides one-stop shopping for both products and service. Our proven track record in customer service as well as our experience in the industry has made Context⁴ a leading choice for knowledge products for thousands of the nation's insurance companies, healthcare organizations, and healthcare providers.

Are you Charging Your Patients Too Much...Or To Little?

Do you ever wonder where Medicare gets its numbers, or how much the provider next door may be charging? This data is crucial to providing a service at a rate that's both fair to your patients and fair to you. And this data is well within your reach.

Context Physician Fee Reports contain usual, customary, and reasonable fees charged by physicians in your ZIP Code area. Each report provides fees at the 50th, 60th, 70th, 75th, 80th, and 90th percentile, which can help ensure that the fees you charge are in tune with local going rates, help you learn what your competition is charging for similar services, and help you know what criteria payer groups are using to set reimbursements.

• Get the same fee data that payers use to set their fees.
• Know the fees charged in your area so you can accurately set your own schedules.
• Get fee reports by specialty and zip code (37 specialties available).