You know what the problem is with these AI medical bots? They hallucinate and do inaccurate stuff. When you use humans for your medical needs, they’re gonna get it right.
Um…right. Unless the humans are committing fraud.
The company that replaced a steel mill with a hospital is in a bit of trouble with the U.S. Department of Justice, in an action started under the Biden Administration and concluded under the Trump Administration.
“Affiliates of Kaiser Permanente, an integrated healthcare consortium headquartered in Oakland, California, have agreed to pay $556 million to resolve allegations that they violated the False Claims Act by submitting invalid diagnosis codes for their Medicare Advantage Plan enrollees in order to receive higher payments from the government….
“Specifically, the United States alleged that Kaiser systematically pressured its physicians to alter medical records after patient visits to add diagnoses that the physicians had not considered or addressed at those visits, in violation of [Centers for Medicare & Medicaid Services (CMS)] rules.”
Now of course you can code a bot to perform fraud, but it’s easier to induce a human to do it.
Bredemarket 