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.

Somewhere in a massive upload is the one piece of documentation you actually need. AI-powered review and smarter search ...
06/12/2026

Somewhere in a massive upload is the one piece of documentation you actually need. AI-powered review and smarter search tools are becoming essential for SIU and audit teams.

Because nobody wants to be Velma in a 2,000-page PDF.

Medical record review is more than reading pages.Reviewers may process 50-100 pages per hour, but identifying cloned doc...
06/11/2026

Medical record review is more than reading pages.

Reviewers may process 50-100 pages per hour, but identifying cloned documentation, finding inconsistencies, and validating support for billed services can turn a review into a process that takes days or even weeks.

That's why tools like RecordPlus that help reviewers find what matters faster are becoming essential for audit, compliance, PI, and SIU teams.

# HCFraudShield

🌿 Plant of the Week: From the yard of Brooke HaycraftWelcome to this Wisconsinite's yard!For the past five years, my hus...
06/10/2026

🌿 Plant of the Week: From the yard of Brooke Haycraft

Welcome to this Wisconsinite's yard!

For the past five years, my husband and I have been transforming our property into a native plant paradise (minus a few herbs, veggies, and fruit-growing experiments). It has taken a lot of work—and let's be honest, mostly Aaron's work—and more money than we'd like to admit. Native plants aren't exactly cheap, but we're both still in possession of a kidney, so we're doing fine.

The payoff has been incredible. Every year we see more bees, butterflies, birds, beetles, caterpillars, and other wildlife moving in. We've also gone completely pesticide-free and successfully convinced a few neighbors to do the same.

This week, I'm highlighting some of the milkw**ds growing in our yard!

🌸 Poke Milkw**d
Named for its resemblance to pokew**d, this shade-loving milkw**d stays in tidy clumps and doesn't spread aggressively. Once mature, it's generally ignored by deer and rabbits.

🌷 Prairie (Sullivant's) Milkw**d
A refined cousin of common milkw**d, this Midwestern native produces gorgeous pink blooms in early summer and is a favorite of native bees. Those red-and-black insects in the photo are milkw**d beetles—native insects that are a sign of a healthy ecosystem.

🦋 Butterfly Milkw**d
This sun-loving native is exceptionally drought tolerant thanks to its deep taproot. Its bright orange flowers support monarch and queen butterfly caterpillars, though it may take a few years before it blooms.

🌿 Whorled Milkw**d
With its fine, needle-like foliage, whorled milkw**d looks unlike any other milkw**d. It's also an enthusiastic self-seeder. Plant one, and you may soon have dozens more. Its late-season blooms provide valuable nectar for monarchs and native bees.

🌼 Common Milkw**d
Despite causing a little horticultural drama in our yard, common milkw**d is one of the most important plants for monarch butterflies. It supports hundreds of insect species and serves as a critical host plant for monarch caterpillars.

🪴 Bonus Native Plant Nerd Activity
Last summer we registered our yard as a Monarch Waystation through Monarch Watch. The program supports monarch conservation and includes a metal yard sign that helps explain why your native garden may look a little wild to the untrained eye.

**d

A comprehensive medical record review can take up to 160 hours.That's enough time to:📺 Watch every season of The Office ...
06/09/2026

A comprehensive medical record review can take up to 160 hours.

That's enough time to:
📺 Watch every season of The Office twice
📚 Read the entire Lord of the Rings trilogy 2-3 times
✈️ Fly round-trip from New York to London 11 times
🚗 Drive coast-to-coast across the U.S. 4 times
🍪 Bake 960 batches of cookies

Or...Review medical records 😩

RecordPlus helps reviewers identify cloned records, extract key information, and focus on the findings that matter most, faster.

Your experts should spend less time searching and more time making decisions.

AI isn’t replacing investigators, auditors, or analysts.It’s helping them work faster, connect patterns sooner, and spen...
06/05/2026

AI isn’t replacing investigators, auditors, or analysts.

It’s helping them work faster, connect patterns sooner, and spend less time buried in manual review.

The best fraud detection strategies still rely on human expertise. AI is just the tool helping teams scale that expertise more effectively.

Thinking about building your own FWA detection tool in-house?Before you commit months (or years) of development, ask you...
06/04/2026

Thinking about building your own FWA detection tool in-house?

Before you commit months (or years) of development, ask yourself the hard questions. Because FWAE isn’t just a tech problem, it’s a high-stakes, high-speed compliance and cost containment issue.

✅ We put together a checklist of critical questions to help you pressure-test your build vs. buy decision. 🔗 Download it here:https://www.hcfraudshield.com/wp-content/uploads/2026/06/HCFS_SOC_051_InHouseChecklist.pdf

🌿Plant of the WeekFrom the garden of Mandi Cook, Senior SIU Clinical Investigator Zora Neale Hurston said, "Trees and pl...
06/03/2026

🌿Plant of the Week
From the garden of Mandi Cook, Senior SIU Clinical Investigator

Zora Neale Hurston said, "Trees and plants always look like the people they live with, somehow."

If that's true, then my garden says I am a fan of organized chaos. It is not perfectly manicured. Fighting against the inevitable w**d is like swimming upstream. I prefer to work with nature by filling all of the empty space with flowers that attract pollinators, lettuces that appreciate the shade, radishes whose roots aerate the soil, and herbs that repel pests. As a result, my only "w**d" is white clover, which I allow because it fixes nitrogen into the soil for my leafy greens. Plus, less empty space means less water evaporation. My garden prioritizes functionality over sterile perfection. It's pretty, but not artificially so.

I'm on the cusp of zone 6b/7a. This means the usual summer show-stoppers like tomatoes, peppers, and cucumbers are not much to look at this time of the year. Instead, I'm featuring some of my favorite herbs:

🌾German Chamomile: This annual is a prolific self-seeder. One plant from last spring produced 5-6 volunteers this year. The leaves and flowers smell like apple Jolly Ranchers. Harvest flowers in the morning for optimal flavor. Dry them out for a few weeks, and have yourself a nice cup of evening tea to help you wind down for bed. I blend mine with mint or lavender from the tea garden.

🌻Yarrow: This is a native perennial named after Achilles (Achillea) because he supposedly used it to stop bleeding on the battlefield. When taken as a tea, it is said to reduce fevers and inflammation, and aids in digestion. Its high value nectar attracts pollinators.

🌱Chives: This perennial is not only tasty on eggs and potatoes, it also deters garden pests like aphids and Japanese beetles. Chive blossoms are also edible (and more subtly flavored); they can be used to make compound butter, infused vinegar, and finishing salt.

🌺Borage: This hardworking annual is as functional as it is pretty. It attracts nectar loving critters which help pollinate strawberries, tomatoes, and cucumbers while repelling the dreaded tomato hornworm. Its long taproot mines minerals (particularly potassium) deep from the soil, making its leaves perfect for mulching tomatoes. And best of all, the flowers and leaves taste just like cucumbers.

Healthcare fraud prevention is changing fast, and a lot of health plans are feeling the pressure to keep up. Teams are e...
06/02/2026

Healthcare fraud prevention is changing fast, and a lot of health plans are feeling the pressure to keep up. Teams are expected to identify risk earlier, work faster, and avoid drowning investigators in alerts.

That is one reason AI has become such a major conversation across healthcare payment integrity right now. Industry leaders and federal agencies are increasingly focused on how AI can help identify suspicious billing behavior earlier and improve fraud prevention efforts before losses grow.

But technology only helps if it actually makes investigators’ jobs easier.

At Healthcare Fraud Shield, that’s the focus behind our AI-powered HCFSPlatform. The goal is to help SIU, compliance, audit, and PI teams spend less time sorting through noise and more time focusing on the cases that truly matter.

That is where the industry is heading.

🎧 Fraud schemes are changing fast. Stay ahead with The F Files Podcast from Healthcare Fraud Shield.From suspicious bill...
06/01/2026

🎧 Fraud schemes are changing fast. Stay ahead with The F Files Podcast from Healthcare Fraud Shield.

From suspicious billing patterns to emerging AI-driven detection methods, The F Files delivers practical insight for healthcare investigators, auditors, coders, and payment integrity professionals.

👉Listen now on Spotify and major podcast platforms.
https://www.hcfraudshield.com/podcast/

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