AI Solutions for Healthcare
December 2022 AI Alert

December 2022 AI Alert

Identifying outlier utilization of Synagis during the RSV season   Respiratory syncytial virus [RSV] is a common infection that usually produces mild, cold-like symptoms. Patients diagnosed with RSV and who have pre-existing respiratory issues or...
October 2022 AI Alert

October 2022 AI Alert

A Sharper View of Evolving Optometry Specialty Emerging Schemes   Over recent months, Codoxo’s partners have observed an unusual procedure being performed by the Optometry Specialty that warrants monitoring. The procedure, CPT (Current Procedural Terminology) code,...
September 2022 AI Alert

September 2022 AI Alert

Double-down on Single Diagnosis Care Management Codes   Care management services are defined as the management and support services provided personally by the physician or by their clinical staff (under the direction of a physician or other qualified healthcare...
August 2022 AI Alert

August 2022 AI Alert

Monkeypox Declared a Public Health Emergency – Coding Guidelines and Health Plan Preparation    On August 4, 2022, the USA declared monkeypox a public health emergency. On July 26, 2022, the American Medical Association (AMA) published the coding details for testing...
July 2022 AI Alert

July 2022 AI Alert

Dental Fraud, Waste and Abuse:A Billion(s) Dollar Problem   According to the National Health Care Anti-Fraud Association of the $250 Billion spent on dental care procedures annually nationwide, an estimated $12.5 Billion (or 5%) is lost to dental fraud, waste, and...