Blog
When it comes to laboratory referral fraud, how can your plan leverage GenAI to uncover old tricks?
Unsupported laboratory services linked to various referral patterns and inappropriate business relationships remain...
A Breakout Year for Codoxo and the Next Era of Payment Integrity
By Musheer Ahmed, PhD, Founder & CEO, Codoxo Over the past year, I’ve engaged in numerous discussions with health...
Deepfake Detection in Healthcare: Understanding the Risk and New Tools to Fight It
Healthcare fraud has always evolved rapidly, but never this fast. Deepfake fraud is no longer a theoretical risk or a...
Deepfake Detection for Healthcare Payers: The Risks of Waiting
AI-generated fraud has officially entered healthcare, and payers can no longer afford to treat it as an emerging...
2026 Updates on CPT Codes for Remote Patient Monitoring
The American Medical Association’s (AMA) 2026 Current Procedural Terminology (CPT) code set includes 418 changes,...
Ambulance Claims on a Ride to Nowhere: What Your Fraud, Waste & Abuse System May Be Missing
When a patient’s medical condition requires emergency transportation or the patient is non-ambulatory, ambulance...
Series C Funding: Why Payment Integrity Can’t Stay Reactive
Codoxo announces a $35M oversubscribed Series C led by CVS Health Ventures to accelerate Point Zero Payment...
Five Ways Generative AI is Solving Payment Integrity’s Biggest Bottlenecks
The gap between fraud schemes and detection capabilities has never been wider. While fraudsters leverage AI to...
SIU Mastery: Essential Tips and Tricks from a Payment Integrity Veteran
Healthcare fraud investigation requires more than technical skills—it demands a solid understanding of legal...
AI Alert October 2025
The Add-On Epidemic: Fighting Fraud, Waste, and Abuse Beyond the Pandemic When COVID-19 testing became routine, some...
Why Healthcare Payment Integrity Requires Both Automation AND Oversight: Insights from a Leading Healthcare CEO
In a healthcare system drowning in over $4 trillion of annual spending and burdened by crushing administrative costs,...
AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity
In today's healthcare fraud, waste, and abuse (FWA) landscape, Special Investigations Units face mounting pressure to...
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