Forensic AI Alerts eBook:
2023 Fraud, Waste, & Abuse Trends to Guide
2024 Healthcare Cost Containment Plans
Whether your team is maneuvering the sea of weight loss prescription drugs, looking for tips on billing post-pandemic E&M services, or searching for clarification on changes to colonoscopy billing or other areas of specialty, this eBook is a tool that you can use to stay ahead of potential issues and better protect your bottom line.
The eBook is a compilation of Forensic AI Alerts the Codoxo team publishes throughout the year that highlight timely topics for the cost containment community. Written by our team of payment integrity and FWA experts, the alerts inform healthcare insurers, agencies and pharmacy benefit managers (PBMs) about trends and FWA schemes that may affect their billing processes and bottom lines. We also feature best practices, updates on new or changing Current Procedural Terminology (CPT) codes, and explanations about new treatments increasingly appearing in billing statements.
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FORENSIC AI PLATFORM
Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights
Insight Scope
For everyone across the health plan
Clinical Scope
For clinical teams
Audit Scope
For everyone across the health plan and PBM
Network Scope
For network teams
Payment Scope
For payment integrity teams
Provider Scope
For network and payment teams
Fraud Scope
For SIU teams
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