Description

Artificial intelligence is changing how the Centers for Medicare & Medicaid Services (CMS) monitors claims, detects fraud, and holds organizations accountable. As CMS expands its use of AI, healthcare organizations face new expectations for transparency, data protection, and responsible technology use. This webinar explains what these changes mean for your compliance program and how you can prepare now.

Learning Objectives:-

• AI-Powered Fraud Detection: Learn how CMS uses AI and predictive analytics to flag improper payments, billing anomalies, and fraud patterns faster than traditional reviews.
• Regulatory Compliance in an AI Era: Understand how evolving CMS requirements affect documentation, claims accuracy, and audit expectations for providers, plans, and contractors.
• Smarter CMS Oversight: See how AI is shifting oversight from periodic, after-the-fact audits toward continuous monitoring, and what that means for your audit readiness.
• AI Governance Essentials: Discover the core parts of a strong AI governance framework, including accountability, transparency, and human oversight of automated decisions.
• AI Risk Management: Find out how to identify, assess, and reduce risks tied to AI tools, from algorithmic bias and data quality issues to cybersecurity threats.
• Protecting Patient Trust: Explore how to use AI responsibly while safeguarding patient privacy, meeting HIPAA requirements, and keeping beneficiaries' confidence.

Why You Should Attend:-

• Stay ahead of change. Get a clear picture of where CMS oversight is heading so you can adapt before new expectations become audit findings.
• Reduce regulatory risk. Walk away with practical steps to strengthen your compliance program and prepare for AI-driven scrutiny.
• Build responsible AI practices. Learn how to adopt AI tools in your own organization without compromising privacy, security, or patient trust.
• Learn from an expert. Gain insights from a seasoned auditor and international speaker who turns complex rules into actionable guidance.

Who Should Attend:-

• Healthcare administrators and executives
• Compliance officers and compliance team members
• CMS contractors and Medicare Advantage or Medicaid managed care staff
• Healthcare policy makers and regulatory affairs professionals
• AI governance and risk management professionals
• Privacy officers and HIPAA security officers
• Internal auditors and revenue cycle leaders
• Healthcare IT and cybersecurity professionals
• Legal counsel advising healthcare organizations.