AI in Healthcare and Life Sciences Podcast Reducing Audit Friction and Driving Accountability with AI in Healthcare – with Yasemin Agatan of AdaptHealth
Dec 4, 2025
In this discussion, Yasemin Agatan, Senior VP of Internal Audit at AdaptHealth, shares her expertise in leveraging AI to enhance audit processes in healthcare. She highlights the potential of AI to streamline billing and claims management, reduce patient financial burdens, and improve transparency. Yasemin dives into challenges like data integration and quality while emphasizing the importance of compliance and privacy. With practical strategies for organizations, she urges adopting a data-driven approach to modernize audits and drive accountability in the sector.
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Episode notes
Real-Time Claims Surveillance
- AI can analyze every billing and claims transaction in real time to flag upcoding, duplicates, and suspicious behavior.
- This capability addresses scale and coding complexity that human auditors cannot cover consistently.
Billing Data Reveals Care Signals
- Billing data can reveal care quality and patient-experience issues when translated correctly across stakeholders.
- Mapping diagnosis-to-treatment and billing patterns helps prevent denials and improves patient outcomes.
Fix Data And Security First
- Address data integration, quality, and labeling before deploying AI to claims systems.
- Work closely with IT, security, and data teams and ensure encryption and compliance like HIPAA are enforced.