Feb 27, 2026 | Forensic AI Alerts
Unsupported laboratory services linked to various referral patterns and inappropriate business relationships remain prevalent schemes, with numerous civil and criminal prosecution cases brought by the U.S. Department of Justice. Some referring providers for...
Feb 25, 2026 | Payment Integrity
By Musheer Ahmed, PhD, Founder & CEO, Codoxo Over the past year, I’ve engaged in numerous discussions with health plan pharmacy benefit managers (PBM), and one recurring theme has been unmistakable: the current payment integrity model is no longer sustainable. The...
Feb 2, 2026 | Forensic AI Alerts
The American Medical Association’s (AMA) 2026 Current Procedural Terminology (CPT) code set includes 418 changes, consisting of 288 new codes, 84 deletions, and 46 revisions. Among the most impactful updates are significant expansions to Remote Patient Monitoring...
