Healthcare Fraud Shield

Healthcare Fraud Shield Healthcare Fraud Shield provides fraud, waste, abuse and error (FWAE) consulting services for the healthcare industry.

Our team has extensive expertise in fraud detection technology, prevention and management. Healthcare Fraud Shield provides new and unique Fraud, Waste, Abuse and Error (FWAE) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against fraud. Leveraging our comprehensive fraud experience, we deliver fresh insights and new approaches to combat the largest challenge of our time - the delivery of honest, efficient and compassionate healthcare.

Don't forget to check out the new episode!S5, E3: Behind the Med Spa Curtain is live now.From IV drips and stem cells to...
02/12/2026

Don't forget to check out the new episode!
S5, E3: Behind the Med Spa Curtain is live now.

From IV drips and stem cells to ghost doctors and unlicensed injections, this is not your typical med spa story. In this jaw-dropping episode, we go inside a so-called "wellness clinic" where patient safety took a backseat.

💬 Featuring an exclusive interview with a former nurse who blew the whistle!

🎧 Listen now on Spotify: https://open.spotify.com/show/6qfH3TsWECZwxyAUzqptqy?si=axbOggMCTkKVEm6x4fOOqw
or visit https://www.hcfraudshield.com/podcast/ for all other listening options.

🎯 What does success look like?For us, it's hearing directly from the SIU teams, analysts, and compliance leaders we serv...
02/11/2026

🎯 What does success look like?
For us, it's hearing directly from the SIU teams, analysts, and compliance leaders we serve.

In our 2025 Client Satisfaction Survey, Healthcare Fraud Shield earned:
🔴 9.6/10 for Customer Service
🔵 9.6/10 for Client Engagement & Training
🔘 9.1/10 for SIU Services

One client shared:

“HCFS has greatly enhanced our fraud detection efforts through PostShield and CaseShield. It’s been an excellent product to have in our toolbox.”

We’re proud to support our clients in detecting faster, preventing smarter, and strengthening payment integrity every step of the way.

At HCFSElevate, we’re honoring the boldest, smartest, and most mission-driven FWAE fighters in the HCFS client community...
02/10/2026

At HCFSElevate, we’re honoring the boldest, smartest, and most mission-driven FWAE fighters in the HCFS client community — and your nomination could help them take the spotlight.

📍 Join us in Austin, TX | April 21–22
🗓 Submit nominations by March 2nd

🏅 Award Categories:

🔎 Case of the Year
A standout investigation that cracked a complex or high-impact fraud, waste, or abuse scheme.

🛡 Smartest Prevention Play
A strategy or intervention that prevented fraud before it occurred — powered by proactive analytics or workflow enhancements.

📣 Voice of the Mission
An individual who has championed fraud prevention within their organization or externally through education, advocacy, or peer leadership.

Winners will be announced live at the conference in April! A representative from your organization must be present to be eligible for the award.

👇 Nominate now!
https://forms.office.com/Pages/ResponsePage.aspx?id=cyqltbdJxU6RH-VwBP5cw3yHiitQN7lKv_bWm2OiCCJUQVJNOTRGQUJRRThKWVpHWjI4MUE2UTA5VS4u

🍕National Pizza Day is here, and we’re serving up a slice of fun.👉 If fraud schemes were pizza toppings… what would they...
02/09/2026

🍕National Pizza Day is here, and we’re serving up a slice of fun.

👉 If fraud schemes were pizza toppings… what would they be?
Phantom providers = invisible anchovies?
Upcoding = extra cheese you didn’t ask for?

Drop your best topping analogy below 👇

No prioritization. No scoring. Just vibes.Your SIU & payment integrity teams deserve better than a spinning wheel of gue...
02/06/2026

No prioritization. No scoring. Just vibes.

Your SIU & payment integrity teams deserve better than a spinning wheel of guesswork.
✅ Risk-ranked alerts
✅ AI scoring you can trust
✅ Insights that explain the “why”

That’s how HCFS turns noise into action.

02/05/2026

💼 What’s it like working at Healthcare Fraud Shield?
It’s where mission meets innovation.

Whether you’re in tech, analytics, or client success, you’ll join a team that’s passionate about protecting healthcare from fraud, waste, abuse, and error. We build powerful, AI-driven tools that make a real difference, and we do it in a fully remote, flexible environment that values your voice and your growth.

🚀 Explore careers with us: https://www.hcfraudshield.com/about/careers/

📍 Live from the Medicaid Innovations Forum!Bill Palmisano is on-site representing Healthcare Fraud Shield at this year’s...
02/04/2026

📍 Live from the Medicaid Innovations Forum!

Bill Palmisano is on-site representing Healthcare Fraud Shield at this year’s Medicaid Innovations event—where payers, providers, and innovators are coming together to tackle today’s biggest challenges in Medicaid.

Stop by our booth to learn how HCFS helps Medicaid plans:
✅ Detect fraud, waste, abuse & error (FWAE)
✅ Strengthen audit & compliance efforts
✅ Scale payment integrity without slowing care

Let’s talk smarter fraud prevention—from pre-pay to post-pay and every record in between.

🗓️ February 3–5 | St. Petersburg, FL
📩 info@hcfraudshield.com

🗓️ Upcoming Speaker Alert – March 11, 2026Karen Weintraub, EVP of Healthcare Fraud Shield, will be presenting at the IAS...
02/04/2026

🗓️ Upcoming Speaker Alert – March 11, 2026

Karen Weintraub, EVP of Healthcare Fraud Shield, will be presenting at the IASIU Delaware Valley Chapter meeting in Newtown, PA.

Her topic:
🔍 Detecting and Preventing Phantom Provider Schemes

From shell entities and stolen identities to collusive billing tactics—phantom provider schemes remain one of the most elusive fraud threats in healthcare. Karen will break down real-world detection methods using AI, link analysis, and predictive modeling to expose invisible fraud and protect payment integrity.

📍 In person & virtual
🕙 March 11 | 10 AM ET
📧 RSVP by March 5 to nooned@nationwide.com

📍 Live from Dallas!Karen Weintraub and Paula Clemente are repping Healthcare Fraud Shield at the Medical Cost Containmen...
02/03/2026

📍 Live from Dallas!

Karen Weintraub and Paula Clemente are repping Healthcare Fraud Shield at the Medical Cost Containment Series this week—alongside a few very committed helpers. These Labubu compliance monsters may be small, but they’re serious about fraud detection and cost containment. 💼💡

Stop by our table to meet the team (and the Labubus!), and learn how the AI-powered HCFSPlatform™ is helping payers:

✅ Detect FWAE faster
✅ Scale cost containment strategies
✅ Strengthen compliance without sacrificing care quality

📅 Feb 2–4 | Dallas, TX
📩 Want to connect? Email us at info@hcfraudshield.com

🎓 Elevate Your Expertise at !We're thrilled to announce that attendees of our HCFSElevate 2026 User & Industry Conferen...
02/03/2026

🎓 Elevate Your Expertise at !

We're thrilled to announce that attendees of our HCFSElevate 2026 User & Industry Conference can earn:

✅ 7 Continuing Professional Education (CPE) credits toward their AHFI® designation
✅ 3 AAPC Continuing Education Units (CEUs) for ongoing professional development

Join your peers in SIU, payment integrity, compliance, and fraud detection for two days of cutting-edge content, real-world insights, and powerful networking.

📧 Email info@hcfraudshield.com if you're interested in attending.
📅 Save the date: April 21–22, 2026 | Austin, TX

The National Health Care Anti‑Fraud Association (NHCAA) has awarded the live program HCFS 7 CPE credits toward the AHFI® designation. Granting of this approval in no way constitutes endorsement by the NHCAA of the program, content, or program sponsor

📍 LIVE from Phoenix!Vanessa Morotti is on-site at HCCA’s Managed Care Compliance Conference representing Healthcare Frau...
02/02/2026

📍 LIVE from Phoenix!

Vanessa Morotti is on-site at HCCA’s Managed Care Compliance Conference representing Healthcare Fraud Shield!

If you're here, stop by and connect—we’re diving into:

✅ AI-powered fraud detection
✅ Scalable prevention tools
✅ End-to-end audit & compliance insight

Let’s talk smarter strategies to protect payment integrity and reduce risk across Medicare Advantage, Medicaid, and more.

🗓️ Feb 2–3 | Phoenix, AZ
📍 Come find us at the conference floor!

🚨 Tired of chasing false positives?Join Healthcare Fraud Shield and Health Plan Alliance for a high-impact webinar: "Dir...
02/02/2026

🚨 Tired of chasing false positives?

Join Healthcare Fraud Shield and Health Plan Alliance for a high-impact webinar: "Dirty Data, Clean Results: The Visible Difference Between a Vendor and a Partner"

🔍 We’ll cover:
✔️ Why data mining models often generate false positives
✔️ How to refine your data and tune your algorithms
✔️ Smarter questions to ask your vendor
✔️ Practical strategies to cut through the FWA noise

📅 March 17 | 🕛 12PM ET
🎤 Featuring Karen Weintraub, EVP, Healthcare Fraud Shield

If your team is spending more time sorting than solving — this session is for you.

👉 Register here: https://www.healthplanalliance.org/

Address

16052 Swingley Ridge Road Ste 200
Chesterfield, MO
63017

Telephone

+18883338140

Website

Alerts

Be the first to know and let us send you an email when Healthcare Fraud Shield posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category