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, w

e deliver fresh insights and new approaches to combat the largest challenge of our time - the delivery of honest, efficient and compassionate healthcare.

What happens when a foot becomes a face? 👣 ➡️ 👤For Healthcare Fraud Shield EVP Karen Weintraub, a rusty nail and a routi...
08/31/2026

What happens when a foot becomes a face? 👣 ➡️ 👤

For Healthcare Fraud Shield EVP Karen Weintraub, a rusty nail and a routine clinic visit turned into a firsthand lesson in healthcare coding accuracy.

⚠️One incorrect code can affect more than a claim. It can impact payment integrity, analytics, and the data used to make future decisions.

Read Karen’s latest article for Gibson Consultants to see how one simple error tells a much bigger story.

https://www.gibson-consultants.com/2026/08/25/from-rusty-nails-to-revenue-integrity-when-a-foot-becomes-a-face/

Can you find the fraudster hiding in the crowd? 🔎 Real healthcare fraud isn't always obvious. It's hidden among millions...
08/28/2026

Can you find the fraudster hiding in the crowd? 🔎

Real healthcare fraud isn't always obvious. It's hidden among millions of claims, thousands of providers, and endless data points.

Fortunately, that's where HCFS shines.

Drop a 👀 in the comments once you've found them.

🤩 Big news for HCFSElevate 2027 attendees!We're thrilled to welcome Chuck Whitlock as a featured speaker at this year's ...
08/27/2026

🤩 Big news for HCFSElevate 2027 attendees!

We're thrilled to welcome Chuck Whitlock as a featured speaker at this year's event. Known nationally for his work as an investigative journalist, author, and fraud prevention expert, Chuck brings decades of experience uncovering scams, exposing fraud schemes, and helping organizations stay ahead of emerging threats.

Get ready for compelling stories, valuable insights, and practical takeaways from one of the most recognized voices in fraud prevention.

📅 April 20 - 21, 2027
📍 Denver, Colorado

Interested in attending HCFSElevate 2027?
📧 Email [email protected] for details!

🎙️ New Episode of The F Files: The SIU Roundtable: When Fraud Crosses Payer Lines, Part 2One claim. Multiple payers. Dif...
08/26/2026

🎙️ New Episode of The F Files: The SIU Roundtable: When Fraud Crosses Payer Lines, Part 2

One claim. Multiple payers. Different rules for investigating what happened.

In Part 2 of our SIU Roundtable, we tackle a listener question about how investigations can differ when Medicare or Medicaid is the primary payer and what happens when commercial plans enter the picture.

Plus, there’s an X-Files analogy involving Mulder, Scully, an HOA, and a garbage monster. Somehow, it all makes sense.

🎧 Listen now on Spotify: https://open.spotify.com/show/6qfH3TsWECZwxyAUzqptqy?si=axbOggMCTkKVEm6x4fOOqw

Visit https://www.hcfraudshield.com/podcast/ for other listening options!

Our fraud detection experts are taking National Dog Day very seriously. 🐶🔎They’ve sniffed out suspicious activity, flagg...
08/25/2026

Our fraud detection experts are taking National Dog Day very seriously. 🐶🔎

They’ve sniffed out suspicious activity, flagged excessive treat distribution, and opened an investigation into who keeps saying, “Who’s a good dog?”

Early findings: all of them. Case closed. 🐾

Happy from Healthcare Fraud Shield!

Booth #32 is ready for NAMPI 2026! 🛡️We’re excited to connect with Medicaid Program Integrity professionals and talk ab...
08/24/2026

Booth #32 is ready for NAMPI 2026! 🛡️

We’re excited to connect with Medicaid Program Integrity professionals and talk about smarter ways to detect and prevent fraud, waste, abuse, and error.

Stop by to see how the HCFSPlatform brings prepay and postpay analytics, automated SIU and PI workflows, AI-driven lead scoring, NLG, medical record review, and more into one modular platform built for real investigative impact.

And yes, we brought a few things to keep your hands busy while we talk fraud. 👀

📍 Find Healthcare Fraud Shield at Booth #32.

Everyone understands sunscreen. You put it on before you get burned. You wouldn’t spend eight hours in the sun, turn bri...
08/24/2026

Everyone understands sunscreen. You put it on before you get burned.

You wouldn’t spend eight hours in the sun, turn bright red, and then say, "I should probably think about sunscreen now."

Yet that's how many organizations approach fraud, waste, abuse, and error.

They wait for the painful audit.
They wait for the provider settlement.
They wait for the recovery effort.
They wait for the executive meeting where someone asks, "How did we miss this?"

Recovery is important but prevention is better.

Think of payment integrity like sunscreen for your health plan.

☀️ A little protection upfront prevents a lot of damage later.
☀️ Consistent coverage works better than occasional reactions.
☀️ The stronger the protection, the lower the risk.
☀️ And nobody notices the losses that never happened, but they definitely notice the ones that did.

The best fraud prevention programs don't spend all their time chasing yesterday's problems. They focus on preventing tomorrow's losses.

🕵️ Today's mysteries involve duplicate billing, cloned notes, modifier misuse, and missing documentation. Fortunately, y...
08/21/2026

🕵️ Today's mysteries involve duplicate billing, cloned notes, modifier misuse, and missing documentation. Fortunately, you don't have to rely on luck to solve them.

HCFS helps you connect the evidence, identify patterns, and uncover what's hiding in your claims data. 🔍️ Because every case starts with a clue.

San Diego, here we come.Healthcare Fraud Shield is heading to the 2026 NHCAA Annual Training Conference, November 3–6.Th...
08/20/2026

San Diego, here we come.

Healthcare Fraud Shield is heading to the 2026 NHCAA Annual Training Conference, November 3–6.

This year’s ATC brings together the health care anti-fraud community to explore emerging schemes, investigative techniques, new technology, and practical strategies for fighting fraud.

We’re ready to be part of the conversation.

📍 Town & Country Resort | San Diego
📅 November 3–6
📌 Booth 202

Attending ? Visit Healthcare Fraud Shield at Booth 202.

🌿 Plant of the Week: From the yard of Tara AcevedoMost of my plants are indoor plants, along with a growing collection o...
08/19/2026

🌿 Plant of the Week: From the yard of Tara Acevedo

Most of my plants are indoor plants, along with a growing collection of live plants in my fish tank. I wasn't sure how well aquarium plants would do when I first started, but they've been surprisingly easier to care for than some of my houseplants!

Outside, we have a rose bush, more morning glories than I know what to do with, and a patch of wild sunflowers that absolutely took off this year. Unfortunately, we had to cut the sunflowers back after getting a warning from the city that they were blocking the alley... though we may have disagreed with that assessment.

When we moved into our garden home, I took the name literally and brought the garden indoors. Now there are plants in just about every corner of the house, and I wouldn't have it any other way!

These photos also feature three of my four coworkers , who spend their days supervising the plants, inspecting the fish tank, and keeping mom busy. 🐾🌱

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

Category