National Health Care Anti-Fraud Association (NHCAA) 2025 Annual Training Conference
11/14/2025
Join MedReview in Nashville Nov. 18-21 at the NHCAA Annual Training Conference
Visit us at booth #522/524
Join us in Music City to discuss how MedReview’s comprehensive physician-focused process supports payers in solving the complex problems of Payment Integrity. Whether you are moving more processes to pre-payment, focused on improving the accuracy of Payment Integrity results, or seeking a more consultative partner, MedReview can help.
We’re ready to work with you to overcome your specific challenges with custom-tailored, physician-approved prepay and postpay payment integrity solutions. Join us at booth #522/524 to learn more!
Also, don’t miss our CEO, Spencer Young, who will discuss the importance of human clinical oversight and accountability in the age of AI.
Presentation: The Payment Integrity Shake-Up: Taking AI in a Human Direction
Date/Time: Thursday, November 20, 2025, 2:45 – 3:45 p.m. CST
Location: Ryman Ballroom A
Presenter: Spencer Young, MBA, Chief Executive Officer, MedReview
Synopsis:
Artificial Intelligence (AI) is fundamentally changing healthcare fraud detection and payment integrity processes. The benefits and insights created through AI are undeniable. The most advanced AI models, though, cannot replace human knowledge in the complex and oftentimes ambiguous decision-making inherent in interpreting the clinical information that is a necessary component of FWA programs. A Human-in-the-Loop (HITL) approach to AI integrates human expertise with AI automation to maximize the accuracy, quality, and efficiency of FWA and payment integrity processes. By blending AI with human clinical oversight and accountability, HITL represents the most effective and ethical path forward for advancing AI-driven fraud detection. In this session, attendees will learn about the limitations of an AI-only approach to FWA and how HITL drives more accurate outcomes and greater quality.