AI Solutions for Healthcare

Join Codoxo at the NHCAA Conference

NHCAA conference 2024

Codoxo is excited to announce our presence at the upcoming NHCAA conference, an essential gathering for professionals dedicated to healthcare fraud detection and payment integrity. As a leader in healthcare AI and Generative AI solutions, we look forward to showcasing our groundbreaking technologies and fostering innovative discussions.

Visit Us at Booth #403

Codoxo’s Unified Cost Containment Platform integrates a proprietary mix of generative AI and self-learning AI algorithms that support a suite of payment integrity and fraud, waste, and abuse solutions.

Explore Unified Cost Containment Platform Products & Services:

Clinical ClaimPilot

Automate in-patient and facility claim audits with generative AI, speeding up reviews and increasing audit accuracy.

Compliance ClaimPilot

Validate provider contracts and medical policies to ensure payment accuracy and reduce manual errors.

Concept ClaimPilot

Accelerate concept development of new claim payment methods and proactively spot payment gaps with generative AI.

Case ClaimPilot

Analyze SIU claim allegation and automate medical record review to validate the allegation and create case review findings.

Fraud Scope

Automatically and accurately detect new and emerging fraud schemes, streamline evidence chain collections, and integrate workflows for FWA investigations.

Audit Scope

Automate and streamline end-to-end audit detection and workflow while ensuring compliance

Provider Scope

Bring down costs pre-claim with proactive and automated provider education

Payment Scope

Identify claim accuracy issues before claims are paid with unique claim insights, easy-to-use claim workflow, and automated provider outreach.

Data Mining Services

Uncover more overpayments with AI-driven outsourced healthcare data mining services

Codoxo Sponsor Session

Join us on Thursday, November 21 from 10:45-11:45 am as we explore a real-world case study with MVP Health Care. In our session titled “Ah the Miracle of Childbirth…in Two Different Settings?”, we’ll detail how our AI tools helped uncover a complex fraud scheme involving improper billing for childbirth services, and how we worked to recover misallocated funds.

Presented by:

Sandra Caffarella, RN, CPC, AHFI, Leader of Investigations, Special Investigations Unit, MVP Health Care
Matt Smith, CPC, CFE, Fraud Analyst, Codoxo

Networking Reception

On Wednesday, November 20 from 7:00-9:00 pm CST, we invite all NHCAA attendees to join us at the Copper Vine in New Orleans for an evening of networking and refreshments. Connect with industry peers and the Codoxo team to discuss the latest trends and challenges in payment integrity.

We look forward to connecting with you at NHCAA and exploring how we can drive success together.