Healthcare IT Today: It’s Time to Combat Medicare Advantage “Instafraud”

As a guest author for Healthcare IT Today, Medicomp Systems CEO David Lareau raises concerns over the emergence of what industry insiders are calling “Instafraud” – a practice where artificial intelligence, particularly large language models (LLMs), is used to generate false or exaggerated medical documentation. This AI-driven review can instantly generate up to $10,000 more per patient per year by fabricating or upcoding diagnoses that were never made by a healthcare provider.

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