AI Solutions for Healthcare

Forensic AI Alerts eBook:

2022 FWA Trends to Inform 2023 Cost Containment Strategies

Forensic AI Alerts eBook

Due to the complex and ever-changing healthcare landscape, we believe it’s critical to educate leaders across the healthcare ecosystem about the latest fraud, waste, and abuse (FWA) opportunities that require real-time action, while informing strategic decisions for the year ahead.

This eBook is a culmination of Forensic AI Alerts curated throughout the year by Codoxo’s team of payment integrity and FWA experts. These AI Alerts equip healthcare insurers, agencies and PBMs with real-time news and information about new trends as well as FWA threats and schemes that may impact billing and their bottom lines. They also provide best practices and tips and tricks on using CPT codes, including various updates published throughout the year.

Highlights include:

  • Telehealth coding changes
  • Emerging trends in physical therapy and coding inconsistencies
  • Discrepancies in dental claims resulting in billions worth of annual losses
  • Pharmacy audit preparation
  • Coding updates for COVID-19 and MPox 
  • And more!

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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.