Healthcare Fraud Shield

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Chesterfield, MO
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.

09/07/2026

Labor Day is a chance to recognize the people whose talent, commitment, and everyday contributions keep things moving forward. 👏

To our team, clients, partners, and all the professionals we have the privilege of working with, thank you for everything you bring to the work you do.

Wishing you a very Happy Labor Day!

09/04/2026

How many can you check off? 👀

SIU teams spend their days connecting claims, records, providers, patterns, and evidence to figure out what deserves a closer look. HCFS helps investigators prioritize meaningful leads, uncover suspicious patterns, and move investigations forward with the context they need.

How many squares did you get? Drop your number below. Bonus points if you have one we missed.

09/03/2026

🌴 San Diego, here we come!

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

Between the sessions, networking, and conversations about the latest healthcare fraud schemes, make time to stop by and talk FWAE with our team.

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

And yes, we promise Booth 202 will be easier to find than some fraud schemes. 😉

📍 NHCAA Annual Training Conference
🌴 San Diego, CA
📅 November 3–6, 2026
📌 Booth 202

See you in San Diego!

09/02/2026

🎙️ 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!

09/01/2026

🍭 How many clicks does it take to get to a provider? One? Two? Three?

If your team has to click, search, navigate, backtrack, and click again just to get to a provider, the real question is: How much time is your platform costing your investigators?

Finding the provider should be the easy part. The HCFSPlatform is designed around the people doing the work, with intuitive access to the data and insights SIU and payment integrity teams need to investigate potential FWAE.

Because investigators have better things to do than find out how many clicks it takes to get to the center of their platform.

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/

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.

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!

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!

Address

16052 Swingley Ridge Road Ste 200
Chesterfield, MO
63017

Telephone

+18883338140

Website

http://www.hcfraudshield.com/

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