AI Solutions for Healthcare
May 2021 AI Alert

May 2021 AI Alert

New Prolonged Service Codes Effective Jan 1, 2021 The CPT coding guidelines indicate that the new CPT code, 99417, effective 1/1/2021, is to be used in association with 99215 or 99205.  Due to these changes, it is recommended that you monitor for continued use of...

FORENSIC AI PLATFORM

Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights

Insight Scope

For everyone across the health plan

Clinical Scope

For clinical teams

Audit Scope

For everyone across the health plan and PBM

Network Scope

For network teams

Payment Scope

For payment integrity teams

Provider Scope

For network and payment teams

Fraud Scope

For SIU teams

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