“Faster than a Speeding Bullet:” The Immediate Compliance Challenge Created by AI

Artificial intelligence (AI) is dramatically reshaping healthcare by accelerating data analysis, auditing, and documentation. But while it appears to reduce provider burden, AI also strengthens medical necessity support. What about compliance – and the role of human oversight? The producers of Monitor Mondays have invited senior compliance consultant Veronica Richardson with First Class Solution to report on current healthcare issues related to these compliance risks, plus essential tips for ensuring that your organization can respond effectively. Broadcast segments will also include these instantly recognizable features: • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds. • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors. • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment. • False Claims Act Update: Famed whistleblower attorney Mary Inman will report on a recent $541.5 million False Claims Act settlement with The Villages Health System LLC, a Florida provider group, over allegations that it submitted invalid diagnosis codes that increased Medicare Advantage payments – a practice known as risk-adjustment fraud.