The Most Effective Claims Analysis Available

Industry-leading healthcare insurance companies rely on the HCFS Platform™ for Fraud, Waste, Abuse and Error to deliver millions of dollars in savings, recoveries, and prevented loss each year —  a critical component of your company’s payment integrity strategy.

Powered by the FWA Precision Engine™ SIU teams can investigate pre-payment and post-payment fraud, waste, abuse and error claims quickly and with confidence.

The HCFS Platform™ powered by the FWA Precision Engine™ combines a proprietary data fusion library and robust rules knowledge base with advanced AI-driven anomaly detection to deliver the most effective claims data analysis available.

Claims

%

Reduction in False Positives

in Savings for Just 1 Client

Why Organizations Choose HCFS

Whether youʼre struggling with spreadsheets or antiquated software, HCFS helps you reduce false positives and improve claim payment accuracy — saving significant time and money.

Actionable Insights

Leading FWA Subject Matter Experts

Superior Customer Service

Only the HCFS Platform™ is powered by the FWA Precision Engine™ 

Industry-leading healthcare insurance companies rely on the HCFS Platform™ for Fraud, Waste, and Abuse to deliver millions of dollars in savings, recoveries, and prevented loss each year – a critical component of your companyʼs payment integrity strategy.

SIU Services

HCFS’s experienced SIU team of industry experts help your workforce with the heavy lifting in FWA detection, prevention, analysis, medical record reviews, education, training, and more.

SIU Services

HCFS’s experienced SIU team of industry experts help your workforce with the heavy lifting in FWA detection, prevention, analysis, medical record reviews, education, training, and more.

Exceptional Customer Service

We have the best-in-class live customer support with consistent high satisfation rating from our clients. We provide regular webinars and educational materials with the latest advances in the industry.

Exceptional Customer Service

We’re your go-to data source for healthcare fraud, waste, and abuse trends, providing regular webinars and educational materials updated with the latest advances in the industry.

What Our Clients Say: