Forensic AI Alerts Archives

September 2022 AI Alert

Sep 28, 2022 | Forensic AI Alerts

Double-down on Single Diagnosis Care Management Codes Care management services are defined as the management and support services provided personally by the physician or by their clinical staff (under the direction of a physician or other qualified healthcare...

Forensic AI Alerts: Turbocharging Change for a Better Tomorrow

Aug 15, 2022 | Forensic AI Alerts

Knowledge is power, and when it comes to cost containment education, healthcare executives are craving it. A recent survey shows that three-quarters of healthcare executives say that cost containment is a high priority for them in 2022. In fact, more than a third...

August 2022 AI Alert

Aug 11, 2022 | Forensic AI Alerts

Monkeypox Declared a Public Health Emergency – Coding Guidelines and Health Plan Preparation On August 4, 2022, the USA declared monkeypox a public health emergency. On July 26, 2022, the American Medical Association (AMA) published the coding details for testing...

July 2022 AI Alert

Jul 26, 2022 | Forensic AI Alerts

Dental Fraud, Waste and Abuse:A Billion(s) Dollar Problem According to the National Health Care Anti-Fraud Association of the $250 Billion spent on dental care procedures annually nationwide, an estimated $12.5 Billion (or 5%) is lost to dental fraud, waste, and...

June 2022 AI Alert

Jun 28, 2022 | Forensic AI Alerts

Educating your Pharmacy Network for Audit Preparedness Pharmacies have always been a critical access point for healthcare information. A pharmacist is ever available to patients and offers free healthcare advice, thereby increasing access to the medical system at a...

May 2022 AI Alert

May 25, 2022 | Forensic AI Alerts

Telehealth Place of Service Coding Changes The Centers for Medicare and Medicaid Services (CMS) recently made changes to The Place of Service (POS) code set. The POS code set provides setting information necessary to pay claims correctly. The CMS POS Workgroup revised...