Blog
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...
AI Alert September 2025
Don’t be fooled by the “Two Midnight Rule” for single-day inpatient stays A single-day inpatient stay typically refers...
Point Zero in Action: How a Health Plan Used Pre-Claim Provider Education to Unlock Millions in Ongoing Savings
In healthcare payment integrity, earlier intervention drives better outcomes. For too long, healthcare payers have...
Intern Spotlight: Anna Mintzer’s Summer of AI at Codoxo
When Anna Mintzer joined Codoxo as an AI R&D intern, she was already passionate about two things: computer science...
Thin Claims, Thick Trouble: Auditing Single Diagnosis Care Management
Care Management Services are for the support and management activities delivered either directly by a physician or...
Achieving Accuracy Before Claim Creation: How Ongoing Provider Education Detects Improper Billing
In the first two installments of our Point Zero Payment Integrity series, we explored how AI-powered concept ideation...
Delivering Clarity Before Claims: How Provider Scope Brings Medical Policy Provider Education Upstream
In the second installment of our Point Zero Payment Integrity product webinar series, we shift the focus from...
Explainable AI Is the Future of Payment Integrity
Healthcare leaders, take note: AI must evolve beyond denial-focused workflows and become a transparent,...
AI Alert July 2025
Early refills are an early warning signal to audit a pharmacy Codoxo uses Pharmaceutical Violations to identify...
Maximize recoveries
uncover overpayments, billing errors, and fraud faster with AI-driven insights that identify patterns missed by traditional data mining tools