The F Files

This episode is the start of a series on the good, the bad and the ugly of investigations.  In part 1 of this series we will focus on data mining, but stay tuned for future podcasts in this series on medical records/gathering evidence, requesting refunds and negotiating and referrals.    If you want to learn more about Healthcare Fraud Shield's solution, check out our website a...

Healthcare fraud investigators are tasked with gathering information and evidence used to disprove or prove an allegation of potential fraud, waste or abuse.  In this episode, we discuss some of our experiences with conducting onsite audits as well as tips and tricks.  Thanks for listening!

This episode is an introduction to Healthcare Fraud Shield.  Learn a little about our company, what makes Healthcare Fraud Shield different and why is healthcare fraud so complicated?  Thanks for listening!  For more information, email us at info@hcfraudshield.com.

In the vast maze of medical billing, most claims follow the rules. Most codes match the care. But every so often… a claim strays from the pattern. A service that never happened. A modifier that whispers a lie. The data twitches. The story doesn’t add up. And that’s when we go looking. Because when claims get weird… we get to work.