AI Solutions for Healthcare

Forensic AI Alerts eBook:

2023 Fraud, Waste, & Abuse Trends to Guide
2024 Healthcare Cost Containment Plans

2023 Forensic AI Alerts Ebook

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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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


We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.