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...
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 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...
Apr 29, 2022 | Forensic AI Alerts
ICD-10-CM Coding Update: Post COVID-19 Conditions In (FY) 2022, we saw an update from the CMS and NCHS to the International Classification of Diseases, 10th revision, clinical modification (ICD-10-CM), which included a code addition for post-COVID conditions. In this...
Mar 31, 2022 | Forensic AI Alerts
March 2022 COVID-19 Updates Background:Two manufacturers of Covid-19 vaccines have submitted additional requests for Emergency Use Authorization (EUA) for children ages 6 months to 4 years and boosters for those fully vaccinated adults. There is a new Covid-19 test to...
Feb 25, 2022 | Forensic AI Alerts
Let’s Talk Physical Therapy Emerging Trends Codoxo recently discovered alarming emerging trends in physical therapy treatment that health plans and agencies should keep top of mind. Some of these trends are specific to laser therapy and cold or warm superficial...
