AI Solutions for Healthcare

Platinum Member Codoxo to Present at 2022 NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference

FOR IMMEDIATE RELEASE

Platinum Member Codoxo to Present at 2022 NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference

Codoxo co-presents with MVP Health Care SIU leader a case study for using AI to identify suspicious provider billing activities

ATLANTA (November 7, 2022) – Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers and agencies, today announced it will present live at the NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference on Thursday, November 17 at 10:00 a.m. Eastern Time at the Hyatt Regency in Orlando, Florida. Platinum Member, Codoxo, is thrilled to support the industry’s leading healthcare anti-fraud events, as it serves to share information on best practices to detect, investigate, prosecute, and prevent fraud, waste, and abuse (FWA).

Derik Ciccarelli, Healthcare Fraud Analyst with Codoxo, will co-present “Coordination Is King: Use Case of Impossible Days” alongside Sandra Caffarella, RN, CPC, CPMA, AHFI, Leader of Investigations, Special Investigations Unit, MVP Health Care. The speakers will demonstrate how Codoxo’s artificial intelligence (AI)I-based fraud detection platform enabled MVP Health Care analysts to quickly identify a suspicious provider that was billing impossible days by exposing a significant spike in the baseline of claims per month, primarily for their Medicaid population. MVP Health Care and Codoxo will share best practices, including the steps that MVP Health Care’s SIU team took to quickly move into action, procure recovery, and achieve cost avoidance.

“Codoxo works closely with its healthcare payer, agency, and PBM clients to provide cutting-edge AI solutions that detect and minimize risks from fraud, waste, and abuse,” stated Dr. Musheer Ahmed, Codoxo’s Chief Executive Officer and founder. “We hope that by sharing this case study, NHCAA attendees will glean insight into best practices that they can incorporate into their own fraud prevention programs and see first-hand how AI is helping health plans take their FWA programs to the next level.”

Codoxo will showcase its Unified Cost Containment Platform in Booth 115, and will be demonstrating how the platform is helping healthcare payers and agencies maximize savings and lower provider abrasion through a unified cost containment approach. Codoxo will also be participating in the Bingo event and holding its own booth giveaway drawing for a reMarkable tablet.

Codoxo is a member of NHCAA and has a stated mission “to make healthcare more affordable and effective for everyone.” Through its proprietary Forensic AI Engine and Unified Cost Containment Platform, it is disrupting the cost containment and payment integrity industry by implementing the most innovative and effective AI available to reduce fraud, waste, and abuse and ensure payment integrity for health payers, agencies and PBMs.

To find out more about Codoxo and its transformation AI capabilities, please visit https://www.codoxo.com.

About Codoxo
Codoxo’s mission is to make healthcare more affordable and effective for everyone and serves as 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. The Codoxo Healthcare Integrity Suite 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 Platform, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques. Our solutions are HIPAA- compliant and operate in a HITRUST-certified environment. For additional information, visit www.codoxo.com.

For More Information Contact:
Ronda Duncan
847-254-9782
rduncan@springmarketinggroup.com

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

SERVICES

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

Fraudscope is now Codoxo. LEARN MORE >