Are you confident your organization could defend its AI-assisted claim auditing process if regulators or whistleblowers came calling? With 979 qui tam filings last year, government agencies and payers are using their own advanced analytics to spot billing anomalies at scale. Yet many compliance teams are still catching up, facing the impossible choice between moving too slowly and falling behind, or moving too fast and introducing new liabilities. Is your “human-in-the-loop” oversight genuinely protecting you, or simply signing off on risks you can’t yet see?

Frank Cohen will show you how to turn AI governance from a compliance risk into a compliance strength. This webcast introduces the Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—and demonstrates how to make each one operational across your compliance, audit, and coding functions. You’ll learn how to detect and mitigate bias, design oversight that actually works, and document defensible AI review processes that stand up to regulators and auditors alike.

Why This is Relevant:

With enforcement agencies embracing AI and healthcare regulations lagging behind technology, this discussion couldn’t be more timely. Organizations that fail to establish effective governance are exposing themselves to unnecessary risk—while those that take action now will be audit-ready and defensible when it matters most.

Learning Objectives:

• Distinguish between artificial intelligence and augmented intelligence, and explain why healthcare compliance depends on augmentation.
• Identify where bias enters AI systems and recognize when oversight has degraded into rubber-stamp approval.
• Explain how AI deployment creates regulatory exposure under the 60-Day Rule and False Claims Act.
• Apply the Four-Pillar Governance Framework to evaluate and strengthen your AI programs.
• Evaluate vendors and internal AI systems using key pre-deployment questions that identify gaps in validation, bias monitoring, and accountability before problems begin.

Who Should Attend:

• Chief Compliance Officer
• Compliance Director/Manager
• Director of Health Information Management
• Coding Manager/Supervisor
• Clinical Documentation Improvement (CDI) Director
• Revenue Cycle Director
• Revenue Integrity Director
• Chief Financial Officer
• General Counsel
• Director of Healthcare Analytics