Blog
Lessons learned: An Inside Look at Improved Payment Integrity, Driven by COVID-19
By Kurt Spear, Vice President of Financial Investigations and Provider Review, Highmark, Inc. The COVID-19 pandemic...
Significant Inflators to Healthcare Costs Today and Emerging Areas to Watch
By Patrick Stamm, Advisor at Codoxo and Former COO of Shared Services at UnitedHealthCare and Musheer Ahmed, CEO &...
Re-envisioning Healthcare Cost Containment Post Pandemic
Roundtable Reflections: Executive Insights on Reducing Costs and Improving Quality of Care from Healthcare Leaders...
Smarter, faster, better – a modern approach to Payment Integrity using AI
Innovation fuels Codoxo’s AI platform designed to accelerate insights and impact healthcare cost containment By Rajesh...
Seeing Tomorrow, Today – a Codoxo-led Movement to Disrupt the Status Quo
Now’s the time to change the future of healthcare By Musheer Ahmed, Ph.D., CEO & Founder at Codoxo It’s a harsh...
5 Best Practices for Optimizing Provider Education & Compliance Programs through AI-Driven Solutions
Looking to AI Solutions for Healthcare Payment Accuracy In 2020 alone, over $6B in fraudulent claims were...
Case Studies
Pacific Blues Health Plan uses Fraud Scope to Identify Millions in Overpayments from a Single Scheme
Highmark Identifies Millions in New Active Cases with AI-Powered Provider Analysis from Codoxo
Codoxo Validates Fraud Scope Catches 97% of Post-Payment Exposure
BlueCross BlueShield health plan reduces medical and dental fraud, waste, and abuse
Whitepapers & eBooks
The Quest for Modernized Healthcare Payment Integrity: A Case for AI-Driven Provider Eduction
Using AI to Power Successful Unified Cost Containment Programs
5 best practices to using AI solutions for a holistic approach that breaks down silos while improving efficiency, transparency and insight, contributing to better healthcare.
Forensic AI Alerts eBook: 2022 FWA Trends to Inform 2023 Cost Containment Strategies
This eBook is a culmination of Forensic AI Alerts curated throughout the year by Codoxo’s team of payment integrity and FWA experts.
Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know
New Study from Codoxo Reveals Up to 15% of Telehealth Claims are Non-Compliant with CMS Guidelines
Brochures & Product Sheets
Protect your limited healthcare dollars with the most powerful, effective AI in the industry.
Unified Cost Containment Platform
Fraud Scope
Download and share an overview of everything the Fraud Scope product can do for your organization.
Provider Scope
Download and share an overview of everything the Provider Scope product can do for your organization.
Payment Scope
Download and share an overview of everything the Payment Scope product can do for your organization.
Insight Scope
Download and share an overview of everything the Insight Scope product can do for your organization.
Network Scope
Download and share an overview of everything the Network Scope product can do for your organization.
Clinical Scope
Download and share an overview of everything the Clinical Scope product can do for your organization.
Audit Scope
Download and share an overview of everything the Audit Scope product can do for your organization.
Virtual SIU Services
Download and share an overview of Codoxo’s Virtual SIU Services designed to help health plans and state agencies scale operations and meeting FWA compliance.
Videos
Codoxo
Leading a Movement to Contain Healthcare Costs and Disrupt the Status Quo. See why our mission to contain healthcare costs has sparked a movement. A movement that includes collaborating with payers and agencies across the U.S. to deploy AI solutions that disrupt the status quo of unsustainable healthcare costs. That’s seeing tomorrow, today.
Codoxo 2022 Reflection
Over the past 12 months, Codoxo’s growth, client satisfaction, industry recognition, and improved performance validate that our deep commitment to next-generation
healthcare cost containment is making a real difference to healthcare payers, agencies, and PBMs, along with the members and patients they serve.
NCHAA Webinar: Detecting the Undetected
Codoxo’s leading fraud analyst and health payer special investigations unit present case study for using AI to Identify previously undetected FWA schemes.
Provider Scope
Audit Scope
Virtual Services
Codoxo’s Virtual Outsourced Services help health plans, agencies and PBMs offload compliance and scale operations through:
• Data Management & Implementation
• End-to-end Virtual SIU Services
• Client Reporting & Communication
Highmark NHCAA Session
November 2020
Learn how Highmark and Codoxo collaborate on psychotherapy analytics and savings in this recent NHCAA training session.
Industry Reports & Recognition
KLAS Research Emerging Technology Spotlight Report 2022
Codoxo Received an A+ Rating by KLAS Research in a Recent Emerging Technology Spotlight Report.
Aite Matrix Payment Integrity in Healthcare Report
Codoxo Recognized as Leading Contender in Payment Integrity in Healthcare Aite Matrix
Codoxo Named “Highflier” in CB Insights’ ESP Matrix for Fraud, Waste & Abuse
In its October 2022 ESP Matrix for fraud, waste & abuse analytics providers, CB Insights positions Codoxo as the sole “Highflier” company among 9 vendors.
