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Fraud in the Age of AI: The New Threat to Medical Billing Integrity

Presenter Christopher Adam Parrella, CPC, CPCO
Broadcast Date 11/20/2025
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
Fraud in the Age of AI: The New Threat to Medical Billing Integrity Webinar

Learn more about this event

Artificial intelligence is transforming how healthcare organizations code, bill, and manage risk — but it’s also creating new avenues for fraud, abuse, and compliance exposure. This webinar will examine the emerging legal, ethical, and operational risks tied to AI-assisted documentation, automated coding, and algorithmic decision support. Attendees will gain insight into how ONC’s HTI-1 transparency rule, CMS’s new HCC V28 model, and OIG’s AI oversight priorities are reshaping the fraud landscape in 2025. We’ll explore five high-impact areas for coders and compliance teams:

• AI-generated documentation and auto-coding: Identifying cloned or “hallucinated” content and enforcing audit trails.
• AI-driven risk adjustment (HCC capture): Ensuring human validation of chronic conditions to prevent FCA exposure.
• Telehealth, RPM, and RTM: Managing device-generated data and AI-driven billing risks.
• Payer AI tools: Anticipating denials, predictive edits, and algorithmic claim reviews.

Participants will leave with a structured compliance checklist for each area to help detect and mitigate fraud risk in the evolving age of AI-assisted billing.

Christopher Adam Parrella, CPC, CPCO

About The Author

Christopher Adam Parrella, CPC, CPCO

Christopher has extensive experience in healthcare law, and provides robust legal support in areas including regulatory compliance, audits, healthcare fraud defense, and reimbursement disputes. Chris emphasizes client-centered advocacy. His proactive approach helps clients navigate complex healthcare regulations, ensuring compliant operations and defending against government investigations, audits, and overpayment demands.

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