Provider Education
The Proactive Shift Left Strategy for Strengthening Relationships, Reducing Provider Abrasion, and Maximizing Savings.
Imagine a world where providers are educated on common missteps or changes that impact billing practices long before errors occur. Codoxo’s solutions will do just that.
Providing early and continuous education to providers helps prevent claim errors before they happen, fostering stronger provider partnerships and greater savings.
Interested in Achieving over $20M in Annualized Cost Avoidance with Codoxo?
Delivering the Earliest Intervention: Shifting from Catching Errors to Preventing Denials Before They Happen.
Codoxo’s Provider Education solutions are a comprehensive suite for the earliest payment integrity intervention possible. Our solutions help healthcare payers and providers to avoid coding and billing errors before they ever happen. Our provider education solutions include:
- Targeted Medical Policy Change Notification: Stay ahead of changing requirements with our Policy Alert Notification product that transforms how you manage policy updates. Rather than discovering problems after claims are denied, our solution ensures providers know about policy changes before they submit claims.
- Real-Time Policy Intelligence: Our system continuously monitors Commercial, Medicare Advantage, and Medicaid policy changes, immediately identifying which of your providers will be affected based on their actual claims history.
- Proactive Provider Communication: Transform your provider relationships by delivering clear, actionable policy updates before effective dates. Our easy-to-read summaries cut through complex policy language, ensuring providers understand exactly what’s changing and how it affects them.
- Measurable Compliance Management: Track provider acknowledgment and engagement with critical updates, giving you confidence that your network stays current with the latest requirements.
By addressing policy changes at the source, you’ll prevent denials, reduce administrative burden, and maintain stronger provider relationships through transparent, timely communication.
- Automated Provider Education Programs: Analyzes provider’s billing/coding patterns to identify improvement opportunities and engage with providers in a non-abrasive manner. Providers identified for the education program receive automated, customized multi-modality outreach related to outlier behavior with guidance to improve claim integrity. Providers have access to multiple analytic reports over the duration of the program that helps identify specific billing improvement opportunities in comparison with their peer group. Providers receive continued education content to track progress over the course of the program.
Codoxo analyzes exponentially more themes for identifying outlier behavior for greater cost avoidance opportunities.
- Self-Service Provider Portal: For self-monitoring, peer comparison & communication, our portal lets providers compare coding practices with peers, improving transparency, engagement, and reducing provider abrasion.
By leveraging industry-first solutions at the earliest point possible, healthcare payers can create a seamless payment integrity ecosystem where early interventions, collaborative provider relationships, and data-driven insights redefine how claims are managed and paid.
The Impact of Proactive Collaboration
Achieve
Significant cost avoidance
Increase
Savings exponentially with more coding themes
Enhance
Provider collaboration and transparency
Reduce
Claims denials and pre and postpayment audits
Deliver
Providers self-service reporting and reimbursement policy information
Speed
To implementation, detection and insights
Explore Codoxo’s Full Solutions Offerings
Codoxo’s AI-Driven Provider Education Results
Smarter Healthcare Cost Containment Starts With Codoxo
Codoxo’s provider education solutions are delivered through our Unified Cost Containment Platform, empowering healthcare organizations to take a seismic shift left by ensuring faster, more accurate claim payments, reduced fraud, waste, and abuse, and enhanced operational efficiency. By transforming the landscape of healthcare cost containment and payment integrity with industry-leading AI, Codoxo is at the forefront of making healthcare more affordable and effective.
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