February 2023 AI Alert

February 2023 AI Alert

Gains and Losses with Weight Loss Prescription Drugs   Three weight-loss drugs are approved by the FDA (Food and Drug Administration) for persons with type 2 diabetes and obesity, and the names of the generic drug are tirzepatide, liraglutide, and semaglutide....
January 2023 AI Alert

January 2023 AI Alert

Coding and Billing for Audio-Only Delivered Services using Modifier 93   The healthcare industry has experienced significant growth and adoption of telehealth services over the past several years, and with it, a new trend of delivering audio-only services to...
December 2022 AI Alert

December 2022 AI Alert

Identifying outlier utilization of Synagis during the RSV season   Respiratory syncytial virus [RSV] is a common infection that usually produces mild, cold-like symptoms. Patients diagnosed with RSV and who have pre-existing respiratory issues or...
October 2022 AI Alert

October 2022 AI Alert

A Sharper View of Evolving Optometry Specialty Emerging Schemes   Over recent months, Codoxo’s partners have observed an unusual procedure being performed by the Optometry Specialty that warrants monitoring. The procedure, CPT (Current Procedural Terminology) code,...
September 2022 AI Alert

September 2022 AI Alert

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...