Aug 19, 2025 | Payment Integrity, Uncategorized
In the first two installments of our Point Zero Payment Integrity series, we explored how AI-powered concept ideation and proactive provider reimbursement policy education are moving payment integrity to the earliest intervention point. Now, we turn to the third and...
Aug 12, 2025 | Payment Integrity
In the second installment of our Point Zero Payment Integrity product webinar series, we shift the focus from identifying payment policy gaps to medical policy activation—specifically, how Codoxo’s Provider Scope solution helps payers communicate changes before they...
Jul 24, 2025 | AI for PI Community, Payment Integrity
At the AI for PI Summit 2025, Lynn Garbee, Partner at HealthScape Advisors, delivered a strikingly candid and strategic session that struck a chord with payment integrity (PI) professionals and healthcare industry leaders. Drawing from decades of experience, she made...
Jul 24, 2025 | Payment Integrity
Rethinking Payment Integrity at the Concept Level In the face of rising healthcare claims complexity, mounting healthcare payer administrative costs, challenges around payment accuracy, and strained provider relationships, payment integrity professionals are...
Jul 10, 2025 | AI for PI Community, Payment Integrity
Navigating a Pivotal Inflection Point The U.S. healthcare system stands at a critical juncture. With the cost of care continuing to rise (up to $400B due to administrative waste) and provider burnout reaching unsustainable levels (43% as of 2024), stakeholders...
Jun 26, 2025 | Payment Integrity
The healthcare payment system is hemorrhaging money, and the traditional “detect and recover” approach in payment integrity is not just failing—it’s actively making the crisis worse. While payers and providers continue to operate under outdated...