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New COVID-19 at Home Testing Coverage Mandate Blindsides Health Plan Payment Integrity Teams and SIUs – How Prepared are You?

New COVID-19 at Home Testing Coverage Mandate Blindsides Health Plan Payment Integrity Teams and SIUs – How Prepared are You?

Jan 13, 2022 | AI in Healthcare

Effective Saturday, January 15, 2022, private healthcare insurers will be mandated to cover a maximum of eight at-home, over-the-counter tests per covered individual, per month. This new mandate for home testing coverage was enacted by Executive order under the March...
New COVID-19 at Home Testing Coverage Mandate Blindsides Health Plan Payment Integrity Teams and SIUs – How Prepared are You?

Smarter, faster, better – a modern approach to Payment Integrity using AI

Jan 10, 2022 | AI in Healthcare

Innovation fuels Codoxo’s AI platform designed to accelerate insights and impact healthcare cost containment By Rajesh Razdan, Vice President of Products for Codoxo In the midst of an onslaught of fraud, waste and abuse, healthcare payers and agencies are facing...
New COVID-19 at Home Testing Coverage Mandate Blindsides Health Plan Payment Integrity Teams and SIUs – How Prepared are You?

NAMPI Virtual 2021: Codoxo / Driscoll Health Plan Session Recap

Oct 4, 2021 | AI in Healthcare

The NAMPI Virtual conference wrapped just over a week ago, and it was a great success. This conference provided ample opportunity for attendees to network, gain knowledge and capture practical insights to take back to their state agency organizations. During the...
New COVID-19 at Home Testing Coverage Mandate Blindsides Health Plan Payment Integrity Teams and SIUs – How Prepared are You?

From Concept to Scale in Healthcare AI: A Q&A with Dr. Musheer Ahmed

May 10, 2021 | AI in Healthcare

–By Stacia Whelan | While working on his Ph.D. dissertation at the Georgia Institute of Technology, Musheer Ahmed envisioned a better way to apply artificial intelligence to the growing problem of fraud, waste and abuse in healthcare. His academic research was...
New COVID-19 at Home Testing Coverage Mandate Blindsides Health Plan Payment Integrity Teams and SIUs – How Prepared are You?

5 Best Practices for Optimizing Provider Education & Compliance Programs through AI-Driven Solutions

Mar 24, 2021 | AI in Healthcare

Looking to AI Solutions for Healthcare Payment Accuracy   In 2020 alone, over $6B in fraudulent claims were reported and according to the Department of Justice, over 300 individuals were charged with fraud in the same year. We have to stop and ask ourselves...
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