Healthcare Fraud Shield

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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.

You know that feeling when you FINALLY get caught up… 👀🎃 And then a fresh batch of high-priority leads appears.For SIU/P...
10/23/2026

You know that feeling when you FINALLY get caught up… 👀🎃 And then a fresh batch of high-priority leads appears.

For SIU/PI teams, sometimes the biggest Halloween jump scare is the inbox. 💀

April 2027 called. It said your calendar has plans. 😉HCFSElevate 2027 is headed to the Mile High City, and we're already...
10/21/2026

April 2027 called. It said your calendar has plans. 😉

HCFSElevate 2027 is headed to the Mile High City, and we're already looking forward to two days of fresh perspectives, meaningful connections, and ideas worth elevating.

📍 Denver, Colorado
📅 April 20–21, 2027

The calendar might say it's months away, but your future self will thank you for planning ahead.

Registration is open. Why wait to elevate? 🚀

🔗 Email [email protected] for the registration link!

☀️ Great conversations don't always happen on the agenda.Vanessa Morotti is in Palm Desert for the CAHP Annual Conferenc...
10/20/2026

☀️ Great conversations don't always happen on the agenda.

Vanessa Morotti is in Palm Desert for the CAHP Annual Conference, October 19–21!

Between sessions, coffee breaks, and everything in between, there's always time for a conversation about healthcare payment integrity, innovation, and what's next for health plans.

☕ See Vanessa between sessions? Say hello! Some of the best conference takeaways start with an unexpected conversation.

🎃 Something spooky is lurking in psychotherapy documentation...Suspicious session times. 👻 Missing interventions. Treatm...
10/20/2026

🎃 Something spooky is lurking in psychotherapy documentation...

Suspicious session times. 👻 Missing interventions. Treatment goals that seem to have vanished into thin air.

In this episode of The F Files, we're uncovering some of the most common red flags found during psychotherapy medical record reviews.

🎧 Tune in to the latest episode of The F Files!

🔗 Listen on Spotify or wherever you stream your podcasts!
https://www.hcfraudshield.com/podcast/

Healthcare Fraud Shield is headed to NHCAA ATC 2026 in San Diego.Bring your questions, your ideas, and your curiosity. W...
10/19/2026

Healthcare Fraud Shield is headed to NHCAA ATC 2026 in San Diego.

Bring your questions, your ideas, and your curiosity. We'll be at Booth 202.

2️⃣0️⃣2️⃣

Something suspicious may be lurking in your claims. 👀On the surface, everything can look perfectly ordinary. But unusual...
10/16/2026

Something suspicious may be lurking in your claims. 👀

On the surface, everything can look perfectly ordinary. But unusual billing patterns, hidden connections and subtle anomalies can tell a very different story.

The trick is knowing where to look. 🔎

🚨 We're growing, and we're looking for talented professionals to join our team!Healthcare Fraud Shield is hiring! We're ...
10/15/2026

🚨 We're growing, and we're looking for talented professionals to join our team!

Healthcare Fraud Shield is hiring! We're looking for passionate, driven individuals who want to make an impact in the fight against healthcare fraud, waste, and abuse.

Current openings include:
🔹 SIU Clinical Investigator
🔹 Director of Implementation
🔹 Coding Auditor
🔹 SIU Analyst

Ready for your next career move? Explore our open positions and see how you can make a difference with HCFS.

👉 Apply today at https://www.hcfraudshield.com/about/careers/

Know someone who might be a great fit? Tag them or share this post!

10/14/2026

Healthcare Fraud Shield is heading to the 2026 NHCAA Annual Training Conference, and you can find us at Booth 202.

Come see how HCFS helps health plans:
🔎 Detect suspicious activity
🛡️ Prevent improper payments before they happen
🤖 Apply AI-powered insights to focus on higher-value leads
📈 Strengthen payment integrity from detection through investigation

See you in San Diego!

You don’t need another AI pilot. You need progress.AI should not create another disconnected tool, another workflow to m...
10/13/2026

You don’t need another AI pilot. You need progress.

AI should not create another disconnected tool, another workflow to manage, or another question about how it will scale.

The HCFSPlatform brings AI into the payment integrity workflows your teams already need, connecting analytics, medical record review, audits, investigations, and case management.

What that means for you:
• Less fragmentation: One integrated platform across the claim lifecycle
• Human oversight: AI and NLG support reviewer decisions, not replace them
• Operational flexibility: Configurable workflows built around your processes
• Actionable results: Insights connect directly to reviews, audits, and investigations
• Measurable impact: Focus on better decisions, efficiency, savings, and recoveries

Address

16052 Swingley Ridge Road Ste 200
Chesterfield, MO
63017

Telephone

+18883338140

Website

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