Healthcare IT News October 18, 2024
A new form of AI-powered fraud is posing risks to healthcare bottom lines. Medicomp CEO David Lareau describes what it is, how to fight it – and how to help cautious executives concerned with the double-edged sword of artificial intelligence.
A recent investigation by The Wall Street Journal revealed that a staggering $50 billion has been pocketed by insurers from Medicare for diseases no doctor actually treated.
Perhaps one of the most concerning aspects of this explosion of fraud is the emergence of what industry insiders are calling “instafraud” – a practice where artificial intelligence, particularly large language models, is used to generate false or exaggerated medical documentation.
This AI-driven review can instantly generate significant sums more per patient...
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