Blog
July 2021 AI Alert
When we talk about prescription Fraud, Waste, and Abuse (FWA), we think of emerging schemes such as topical pain/scar creams…
July 2021 Industry Insights
With the rapid movement toward data-driven decision making, healthcare payers are looking to many tools, technologies…
June 2021 AI Alert
One of the biggest emerging schemes within healthcare prescription fraud is drugs involving foot baths…
May 2021 AI Alert
New Prolonged Service Codes Effective Jan 1, 2021 The CPT coding guidelines indicate that the new CPT...
From Concept to Scale in Healthcare AI: A Q&A with Dr. Musheer Ahmed
–By Stacia Whelan | While working on his Ph.D. dissertation at the Georgia Institute of Technology, Musheer Ahmed...
April 2021 AI Alert
Behavioral Analysis Treatment Codes Autism Spectrum Disorder (ASD) is a developmental disability that can cause...
March 2021 Forensic AI Alert
Drugs that include two (2) or more active ingredients combined into a single dosage form are called combination…
5 Best Practices for Optimizing Provider Education & Compliance Programs through AI-Driven Solutions
In 2020 alone, over $6B in fraudulent claims were reported and according to the Department of Justice…
February 2021 Forensic AI Alert
Medical nutrition therapy (MNT) is utilized for specific conditions (diabetes, renal failure, elevated cholesterol)…
Codoxo / Highmark NHCAA Annual Training Conference Presentation
At the NHCAA 2020 Annual Training Conference, Codoxo Healthcare Fraud Analyst Derik Ciccarelli and Highmark…