#USA #Nashville #Generative AI #Fraud Detection #Codoxo

Codoxo Showcases Generative AI-Enabled Solutions

Codoxo, a frontrunner in AI healthcare payment integrity solutions, is preparing for an exciting presence at the 2025 National Health Care Anti-Fraud Association (NHCAA) Annual Training Conference set to take place from November 18 to 21 in Nashville, Tennessee. This pivotal event will gather industry leaders and integrators, offering a platform for Codoxo to showcase its enhanced capabilities in fraud detection through generative AI technology.

Innovating Fraud Detection

The healthcare sector has long faced challenges with fraud, waste, and abuse (FWA) that impact not only financial health but also the integrity of patient care. Traditional fraud detection methods often fall short in efficiency and efficacy, leaving many instances unchecked. At this year's conference, Codoxo will introduce its latest generative AI-powered solutions that promise to revolutionize the way FWA is detected and mitigated.

According to Musheer Ahmed, PhD, the CEO of Codoxo, “Current workflows often end up impeded by manual processes and disparate systems that drain resources which would otherwise be utilized for impactful investigations. With our platform, we aim to reshape the landscape of healthcare fraud detection.” Codoxo's system not only allows for streamlined processes but also significantly reduces investigation timelines, promoting a proactive approach rather than a reactive one.

Live Demonstrations and Booth Activities

Visitors at booth #605 will have the opportunity to engage with Codoxo's experts and observe live demonstrations of their groundbreaking technologies. Among the highlights are the GenAI-powered Unified Cost Containment Platform and innovative solutions for Specialized Investigation Units (SIUs) aimed at boosting overall payment integrity. Additionally, attendees will learn about a newly introduced feature capable of detecting deepfake documents, specifically tailored for health plan claims.

Educational Sessions and Networking Opportunities

As part of the conference programming, Codoxo will sponsor a session titled “Exposing Hidden Schemes: How AI Transformed Oversight and Recoveries in Physical Therapy.” This insightful discussion, scheduled for November 20, will showcase real-world applications of AI analytics that flagged unusual claim volumes, facilitating earlier intervention strategies. Presenters will include Codoxo's Derik Ciccarelli, along with Sheila Caulfield from Independent Health Association, illustrating how collaborative efforts can lead to more effective FWA prevention strategies.

Not only will Codoxo lead informative sessions, but the company will also host an evening networking reception on November 19, providing an open forum for attendees to discuss industry concerns and share insights from their experiences. This event will take place at the Crystal Gazebo in the Gaylord Opryland's Garden Conservatory from 6:30 to 8:30 PM, marking a perfect end to a day filled with important discussions and learnings.

Conclusion

With an unwavering mission to enhance healthcare affordability and efficiency, Codoxo continues to pave the way in the realm of AI-driven payment integrity solutions. Their generative AI approach is designed to improve accuracy throughout the claims lifecycle—from submission to payment, thereby ensuring that healthcare providers can focus more on patient care than on navigating the complexities of administrative inefficiencies. This year's NHCAA Conference promises to be not only a showcase of innovation but also a gathering of minds dedicated to combating healthcare fraud effectively. For further details on Codoxo's initiatives and conference activities, visit Codoxo's website.