AI & Healthcare Fraud

Healthcare Buzz

In this thought-provoking episode, Nick and Jen dive deep into the complex world of healthcare fraud, exploring how this $300 billion annual problem affects everything from insurance premiums to the quality of patient care. The duo shares eye-opening examples of common fraud schemes, from billing for services never rendered to upcoding treatments, while highlighting how cutting-edge AI systems are now being deployed to detect suspicious patterns in claims data and identify potential fraudsters before they can cause significant damage. Nick and Jen break down practical tips for consumers, including carefully reviewing medical bills, being wary of "free" medical equipment offers, and reporting suspicious charges, while emphasizing that empowered patients and common red flags form a first line of defense against healthcare fraud.