AI Solutions for Healthcare

Codoxo Showcases Program Integrity Innovation and Case Study at NAMPI Conference


Codoxo Showcases Program Integrity Innovation and Case Study at NAMPI Conference    

Codoxo will co-present with MVP Health Care to share how AI quickly uncovered fraud schemes

DULUTH, Ga. (July 25, 2023) – Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers, agencies and pharmacy benefits managers (PBMs), will spotlight a variety of artificial intelligence (AI) successes and innovations at the NAMPI 2023 Annual Conference in Scottsdale, AZ on July 30-August 2, 2023 at the Westin Kierland Resort & Spa. 

Together with MVP Health Care, Codoxo will co-present “From Detection to Investigation: A Use Case of Impossible Days.”  Led by Derik Ciccarelli, Healthcare Fraud Analyst with Codoxo, and Sandy Caffarella, RN, CPC, CPMA, AHFI, of MVP Health Care, the session will detail how MVP Health Care used Codoxo’s AI-based fraud detection platform to help analysts quickly identify suspicious activities. MVP Health Care will share best practices for managing a major case of this kind, in which Codoxo’s AI platform flagged a suspicious specialty provider for billing impossible days by exposing a significant spike in the baseline of claims per month, primarily for their Medicaid population. The presentation is scheduled for Monday, July 31 from 11:45 a.m. to 12:30 p.m. MST in Room Trailblazer B.

Codoxo also plans to make a major announcement at NAMPI that demonstrates its position as a healthcare cost containment leader utilizing rapid technology advancements, empowering healthcare organizations to join Codoxo’s journey in shaping the future of payment integrity.

“Codoxo’s innovations are driven by continuous research and development and first-hand insights from customers and agencies navigating fraud, waste and abuse. This is why we proudly sponsor NAMPI – to engage with front-line leaders who want better business outcomes from their healthcare cost containment programs,” said Dr. Musheer Ahmed, CEO and Founder of Codoxo. “As a technology leader in a swiftly-evolving industry, it’s important to share real-world successes of our differentiated healthcare AI in action. We’re excited to showcase how MVP Health Care is using our AI-assisted fraud, waste, and abuse to quickly detect new and emerging suspicious behavior that enables SIUs to swiftly move into action to maximize recoveries and avoid unnecessary costs.”  

Attendees are encouraged to visit Codoxo at booth #18 to test drive Codoxo’s Unified Cost Containment Platform and learn how it delivers effective and accurate AI for a unified view across the program integrity spectrum, with demos showcasing platform solutions for program integrity and fraud, waste, and abuse; and more.  Attendees also can enter to win one of three Bose speakers while visiting Codoxo’s booth. 

On Sunday, July 30, Codoxo will host a networking reception at the Brittlebush Bar and Grill in Scottsdale where NAMPI attendees are invited to mix and mingle, enjoy food and drinks, and connect with Codoxo team members to learn more about the company’s suite of healthcare AI solutions.  Because Codoxo is now part of the National Association of State Procurement Officials (NASPO) Agreement, clients can enjoy simplified contracting, and have confidence that they are partnering with an approved vendor.

About Codoxo

With a mission to make healthcare more affordable and effective for everyone, Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. The Codoxo Unified Cost Containment Platform helps clients manage costs across network management, clinical care, provider coding and billing, payment integrity, and special investigation units. Our software-as-a-service applications are built on our proven Forensic AI Engine, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques. Codoxo is a Fierce Healthcare Innovation Award winner and has been recognized by the Inc. 5000 Regionals list for growth. Our solutions are HIPAA-compliant and operate in a HITRUST-certified environment. For additional information, visit


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.