Co-presentation with MVP Health Care demonstrates how AI-based fraud detection uncovered improper billing schemes to recover misallocated funds
DULUTH, Ga., Nov. 7, 2024 /PRNewswire-PRWeb/ -- Codoxo, the leading provider of artificial intelligence solutions in payment integrity and cost containment for healthcare payers, government agencies and pharmacy benefit managers, today announced it will showcase its award-winning AI and generative AI platform for unified cost containment at the National Health Care Anti-Fraud Association (NHCAA) Annual Training Conference. The conference is scheduled for November 19-22 at the Hyatt Regency in New Orleans, LA.
Event sponsor Codoxo will co-present "Ah the Miracle of Childbirth...in Two Different Settings?" with MVP Health Care on Thursday, November 21 from 10:45 - 11:45 AM CST. Matt Smith, CPC, CFE, Fraud Analyst, Codoxo, and Sandra Caffarella, RN, CPC, AHFI, Leader of Investigations, Special Investigations Unit, MVP Health Care, will share how Codoxo's Fraud Scope, an advanced AI-based fraud, waste, and abuse (FWA) platform, detected a complex fraud scheme involving improper billing for childbirth services and how they worked to recover misallocated funds. Their presentation will detail the handling of the case from detection to coordinating with law enforcement.
"Fighting fraud, waste, and abuse in the U.S. healthcare system requires solutions that will proactively and accurately identify opportunities for SIUs, and the NHCAA conference is the perfect opportunity to connect with SIU and payment integrity (PI) professionals who want to learn how AI and generative AI can be leveraged within the FWA and PI space," said Dr. Musheer Ahmed, CEO and Founder of Codoxo. "We look forward to demonstrating how our patented AI is unifying data and teams within a single platform for better healthcare cost containment, and sharing how our advanced AI tools enabled MVP Health Care to uncover and recover misallocated funds at a birthing center."
Codoxo's Unified Cost Containment Platform enhances collaboration and efficiency across departments and teams within the payment spectrum. By analyzing diverse claim types—professional, facility, pharmacy, behavioral, dental, vision, and workers' compensation—it unveils connections in the data to swiftly detect issues and deliver actionable insights. This unified platform allows cost containment teams to dismantle silos among departments, data types, and claim systems while collaborating in real-time on the same claims data. Additionally, Codoxo supplements its SaaS solutions with outsourced virtual services such as claims audits, medical record reviews, and end-to-end SIU services.
On Wednesday, November 20, Codoxo will host a networking reception for NHCAA attendees from 7:00-9:00 PM CST at Copper Vine Wine Pub in New Orleans. Attendees can further enhance their conference experience by scheduling a demo of Codoxo's Unified Cost Containment Platform at https://info.codoxo.com/nhcaa or by visiting booth Codoxo at booth #403.
About Codoxo
With a mission to make healthcare more affordable and effective for everyone, Codoxo is the premier provider of generative AI and 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 payment integrity, provider coding and billing, special investigation unit (SIU), network management, and clinical teams. 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 list for growth. Our solutions are HIPAA-compliant and operate in a HITRUST-certified environment. For additional information, visit https://www.codoxo.com/.
Media Contact
Ronda Duncan, Codoxo, 8472549782, [email protected], https://www.codoxo.com
SOURCE Codoxo
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