As AI makes billing faster, it also makes it easier for bad actors to target practices and their revenue cycle. My guest today works extensively in RCM, and implements AI in RCM, and he’ll open our eyes to the dark side and how to fight back. 

Vinod (Vinny) brings over 15 years of experience in operations, financial analysis, strategy, growth, corporate development, strategic planning, and marketing. At MBWRCM, he is involved in applying his experience to optimize revenue cycle process flows to improve our clients’ profitability and performance.

In this episode Carl White and Vinny Sankaran discuss:

  • AI-Driven Phishing and Fraud: How hackers are using Generative AI to create hyper-realistic fraudulent claims and payment redirect requests.
  • The Evolving Cybersecurity Landscape: Why RCM systems are now the primary target for ransomware due to the high value of PHI and financial data.
  • Defensive AI: Using AI to detect patterns in billing data that indicate a breach or fraudulent activity before it’s too late.
  • Building a Redundancy Plan: Practical steps for independent practices to ensure continuity of claims processing during a widespread cyber outage.
  • The Ethics of AI in Security: Addressing the liability shift when AI makes a decision that leads to a data exposure.

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Connect with Vinny Sankaran

https://www.linkedin.com/in/vinodsankaran/

Connect with Carl White

Website: http://www.marketvisorygroup.com

Email:  whitec@marketvisorygroup.com

Facebook:  https://www.facebook.com/marketvisorygroup

YouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmig

LinkedIn: http://www.linkedin.com/in/healthcaremktg