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.

How legacy systems explain fraud they didn’t catch. Or… hear us out… maybe your system just isn’t built to detect it.💡 T...
11/14/2025

How legacy systems explain fraud they didn’t catch.

Or… hear us out… maybe your system just isn’t built to detect it.

💡 The HCFSPlatform combines rules + AI + real-time edits to catch what others miss.

11/13/2025

🕶️ He’s got the moves. We’ve got the fraud-fighting tools.

Catch the beat and catch us at Booth 805 during NHCAA ATC 2025.

✨ What you’ll find:
✅ Smarter, faster fraud detection
✅ Real-time analytics for SIUs
✅ Insights that turn data into dollars

📍 Booth 805. Healthcare Fraud Shield.
Because fraud doesn’t stop and neither do we.



Music generated with Udio

11/12/2025

Attending NHCAA ATC 2025 in Nashville next week?

Visit us at Booth #805 and be among the first to see RecordPlus in action! Our brand-new, AI-powered solution is built to revolutionize medical record review.

✅ Detects cloned documentation
✅ Recommends accurate E/M codes
✅ Speeds up audits with structured, actionable insights

If you’re in SIU, audit, payment integrity, or compliance, this is the tool you’ve been waiting for.

Let’s talk about how RecordPlus can help you close the documentation gap.

🎙️ Don’t miss this session at NHCAA ATC 2025📅 Wednesday, November 19 | 1:00 to 2:00 PMUnmasking Phantom Providers: Lever...
11/11/2025

🎙️ Don’t miss this session at NHCAA ATC 2025
📅 Wednesday, November 19 | 1:00 to 2:00 PM

Unmasking Phantom Providers: Leveraging Link Analysis, Analytics and External Data
Presented by Karen Weintraub, EVP at Healthcare Fraud Shield & Guest

Phantom providers are not just a mystery. They are a growing threat. Learn how advanced analytics, link analysis, and external data sources can uncover fraudulent entities that bill millions without delivering care.

🔍 Get actionable strategies to:
✅ Detect hidden networks
✅ Spot suspicious billing patterns
✅ Strengthen compliance efforts
✅ Protect healthcare resources

This is a must-attend session for SIU teams, investigators, and compliance leaders ready to elevate their fraud-fighting game.

🛑 Let’s unmask the unseen.


11/11/2025

Today we honor the service, sacrifice, and strength of our nation’s veterans.
At Healthcare Fraud Shield, we are proud to support the values of integrity, protection, and dedication that veterans exemplify every day.

To all who have served, thank you.

11/10/2025

🚨 NEW PRODUCT LAUNCH 🚨
Say hello to RecordPlus™, our newest AI-powered tool designed to solve one of the biggest challenges in healthcare audits: unstructured medical records.

RecordPlus transforms documentation chaos into structured, actionable insights—instantly.

With AI + NLG, it helps your team:
✅ Detect cloned documentation
✅ Suggest accurate Evaluation & Management (E/M) codes
✅ Surface critical data like PHI, provider info, and clinical details
✅ Accelerate audits and reduce improper payments

Fully integrated into the HCFSPlatform, RecordPlus works seamlessly with AuditPlus, CaseShield, PostShield, and more.

“RecordPlus™ isn’t just a review tool—it’s an end-to-end solution that closes the documentation gap.” — Karen Weintraub, EVP, HCFS

Ready to level up your audit workflow?
👉 View the full press release:https://www.hcfraudshield.com/wp-content/uploads/2025/11/HCFS_BR_026_RecordPlus_PressRelease.pdf
📞 Contact us at info@hcfraudshield.com to schedule a demo

Your AI shouldn’t sip tea — it should sound the alarm. ☕🚨Because some patterns need to be your business. ...
11/07/2025

Your AI shouldn’t sip tea — it should sound the alarm. ☕🚨

Because some patterns need to be your business.

11/06/2025

🧠 Remember this number: 805
It’s not your case ID.
It’s not a billing code.
It’s where the fraud fighters hang out at NHCAA ATC 2025.

📍 Booth 805 = 8 out of 5 fraud schemes detected
(Yeah, we’re that good.)

Swing by the Healthcare Fraud Shield booth for:
✅ Live demos that actually show you something useful
✅ Real AI catching real fraud
✅ Tools your SIU will actually want to use
✅ Bonus: Terrible fraud puns and swag worth the stop

If you're serious about smarter detection and better case outcomes, stop by Booth 805. We'll make it worth your walk.

🚨 Webinar Alert: Double TroubleExploring Different Double Billing Themes 📅 Tuesday, December 9, 2025 | 🕑 2:00 PM ETDoubl...
11/05/2025

🚨 Webinar Alert: Double Trouble
Exploring Different Double Billing Themes
📅 Tuesday, December 9, 2025 | 🕑 2:00 PM ET

Double billing doesn’t just cost money; it thrives in complexity.

Join Karen Weintraub, EVP of Healthcare Fraud Shield for a deep dive into how providers exploit billing overlaps and loopholes across:

Medical to Pharmacy — same drug, billed twice
Dental to Medical — dual-coverage abuse
Institutional to Professional — duplicate claims for shared services

We'll also examine high-risk services like wound care, diagnostics, and lab testing, where multiple providers and coding complexity make fraud easier to hide.

🔒 Open to payers and government agencies only.

📌 Register here → https://hcfs.webex.com/weblink/register/r18cd72a912d2969eefc08340ef3cda4b

✨ Fraud fighters in the wild! 📸 Rachel Axelrod + Vanessa Morotti are live on the floor at the TAHP Texas Covered Confere...
11/03/2025

✨ Fraud fighters in the wild!

📸 Rachel Axelrod + Vanessa Morotti are live on the floor at the TAHP Texas Covered Conference + Expo in Austin, TX and they're ready to talk SIU strategy, analytics, and real-world payment integrity wins.

Swing by Booth #415 to:

🧠 Explore AI-powered fraud detection
🛠️ Customize workflows that actually work
💸 Maximize ROI and protect every dollar

✅ Stop by, say hi, and see what smarter fraud prevention looks like.

11/03/2025

Strong compliance doesn’t slow you down. It keeps fraud from speeding past.
This Corporate Compliance & Ethics Week, we salute the professionals who turn policies into protection and ethics into action.

At Healthcare Fraud Shield, we build tools that help compliance teams detect smarter, prevent faster, and stay ahead of fraud while maintaining integrity.

Here’s to a week of celebrating the work that makes healthcare better, cleaner, and safer.

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Chesterfield, MO
63017

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