AI Solutions for Healthcare
May AI Alert 2024

May AI Alert 2024

Payment Integrity Audit: Facility vs. Non-Facility Place of Service Codes  Under the Medicare Physician Fee Schedule (MPFS), some procedures have separate rates for physicians’ services when provided in facility and non-facility settings. In general, the...
April AI Alert 2024

April AI Alert 2024

Wegovy – Getting to the Heart of the Matter  On March 8, 2024, the U.S. Food and Drug Administration (FDA) announced its approval of Wegovy (semaglutide) injections for a new indication in addition to weight loss. Their release states, “to reduce the risk of...
AI Alert March 2024

AI Alert March 2024

Taking Medicine To The Street – Reimbursement Now Available For Street Medicine  Starting October 1, 2023, providers can report street medicine services using the newly established Place of Service (POS) code 27, as created by CMS. This place of service is...
2023 Forensic AI Alerts Roundup and eBook

2023 Forensic AI Alerts Roundup and eBook

This valuable resource is a must-read for healthcare organizations seeking to mitigate fraud, waste, and abuse and maximize cost savings Healthcare executives face the daunting task of finding ways to control and manage the alarming cost increases. When priority...
AI Alert February 2024

AI Alert February 2024

Speech Therapy: Identifying signals and trends for potential FWA (Fraud, Waste, and Abuse)  Speech Language Pathology serves as a pathway for many individuals, unlocking the gates to communication. With the expected rise in labor and increased awareness of speech...
AI Alert January 2024

AI Alert January 2024

The Fight Against Fraud in HIV Prevention Medications According to the Centers for Disease Control (CDC) there is a federal initiative to end the HIV epidemic by 2030. One such effort to meet this initiative is to provide these medications to at least 50% of the...