Healthcare Fraud Shield

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United States
Chesterfield, MO
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.

12/30/2025

That gingerbread provider looked sweet...
Until we noticed they billed for services in all 50 states... on the same day. 👀

Good thing HCFS spots cookie-cutter fraud fast.
We crumble the schemes before they spread.

12/29/2025

While you're winding down, remember: fraudsters don't take holidays.

Cozy up with some hot cocoa — we'll keep watch. 🔍❄️

12/26/2025

👻🎄 SIU squad: back at it again, chasing phantom providers harder than when we chased that last sugar cookie.

12/25/2025

🎄 Happy Holidays from Healthcare Fraud Shield ☃️

As the year winds down, we take a moment to recognize the people who make healthcare stronger and safer.

To the investigators, analysts, compliance teams, and partners working tirelessly to safeguard healthcare, thank you. Your dedication doesn’t take a holiday.

Whether you’re celebrating with loved ones or quietly on call, know that your work makes a difference. You help ensure care goes to those who need it, and that fraud doesn’t steal from the system we all rely on.

From all of us at HCFS, we wish you peace, health, and moments of joy this holiday season.

💙 Here’s to continuing the mission together.

12/24/2025

'Twas the night before Christmas, and across every plan,
No signs of abuse, at least none that looked grand.
The claims were submitted with cunning and care,
In hopes that detection would not find them there.

But HCFS had eyes sharp as a hawk,
Its NLG engine ready to talk.
Patterns and outliers lit up the screen,
From phantom providers to billing too clean.

So while fraud tried to nestle all snug in disguise,
HCFS unwrapped it with data so wise.
With dashboards and workflows that made SIUs cheer,
We stopped waste and abuse as the new year drew near.

🎄 This holiday season, trust HCFSPlatform to help you detect faster, prevent smarter, and keep payment integrity on point.

12/23/2025

All we want this season is…
❌ No more cloned records
❌ No more E/M guesswork
✅ Just fast, accurate audits with RecordPlus™ 🎁

Powered by AI and NLG, RecordPlus™ delivers structured, audit-ready insights, so you can close out the year strong.

12/22/2025

Before you wrap up the year, get ahead of 2026.

April 21-22 join us in Austin, TX for two days of insight, innovation, and real-world fraud-fighting strategies.

✅ 7 AHFI + 1 CFE credit (AAPC pending)
✅ Hear from Theranos whistleblower Tyler Shultz
✅ Connect with SIU, compliance & analytics pros
✅ Explore the latest HCFSPlatform tools
✅ Leave with ideas you can use on Day One

📧 Email info@hcfraudshield.com for your registration link.
Let’s get ahead of FWAE, together.

12/19/2025

Digging through hundreds of pages for billing anomalies? That’s so 2023.

🚀 With HCFSPlatform, you get NLG-powered case narratives, pinpointed leads, and workflows that actually make sense. So you can go from buried to brilliant in less time. Zero sugar required.

12/18/2025

🎙️ NEW PODCAST EPISODE
🚑💸 Think non-emergency transport is low-risk for fraud? Think again.

In the latest episode of The F Files, Daphne and Mandi expose how fraudulent ambulance and wheelchair van rides are costing millions, from fake BLS billing to 400-mile detours and unlicensed crews. Packed with real stories, smart data mining tips, and laughs along the way.

🎧 Listen now: https://www.hcfraudshield.com/podcast/

12/17/2025

🚨WEBINAR
Forecasting FWA: 2026 Code Changes & Emerging Billing
Risks
📅 Wednesday, January 21, 2026 | 🕑 2:00 PM ET

2026 code changes are coming. Will your fraud detection keep up? Join Karen Weintraub, EVP at Healthcare Fraud Shield, for a tactical breakdown of how new codes can expose payers to emerging billing schemes, and what you can do now to prepare.

🔒 Payers and government agencies only.

Register Now! 👇
https://hcfs.webex.com/weblink/register/rb7d724e38d85d8b101f9b2f6dc0ed616

12/16/2025

🎓 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. 🌟

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

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

12/15/2025

What a year! Innovation, collaboration, and FWAE prevention at full speed.
Here’s a look back at what made 2025 so impactful 👇

Address

16052 Swingley Ridge Road Ste 200
Chesterfield, MO
63017

Telephone

+18883338140

Website

http://www.hcfraudshield.com/

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