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HCFS employees highly respected industry known Subject Matter Experts are sought after to speak regularly for not only our clients, but a myriad of industry organizations. Our team is dedicated to not only FWA detection and prevention, but to education. We provide complimentary scheme oriented articles used by both clients and non-clients providing actionable takeaways and insights that have led to millions of dollars of savings and recoveries. Sign up for our newsletter!
Millions at Risk: Program Integrity Concerns Lead to Rise in Federal Scrutiny
Recent actions by the Centers for Medicare & Medicaid Services (CMS), including targeted spending reviews and the Comprehensive Regulations to Uncover Suspicious Healthcare initiative, known as...
Don’t Get Bitten by 2026 Dental Codes
The American Dental Association (ADA) introduced significant updates to the Current Dental Terminology (CDT) code set in 2026. These changes reflect an industry shift toward advanced technology and...
The Intelligence Gap: What Fraud Teams Are Missing
Fraud is evolving faster than traditional controls. Schemes are more coordinated and documentation is more engineered. Billing patterns are designed to survive first-pass reviews. And many...
ABA: Addressing Fraud, Waste, and Abuse
Applied Behavior Analysis (ABA) is commonly used to treat individuals with Autism Spectrum Disorder (ASD). Treatment is designed to improve communication, social skills, and adaptive learning....
Investigating Hospice Fraud: Common Schemes and Red Flags
Hospice is designed to provide comfort and supportive care to terminally ill patients with a prognosis of six months or less. However, the high per diem payment structure makes it a significant...
The Sound of Silence: Improper Hearing Aid Billing
"Listen, Linda!" We've all seen, laughed at and maybe even quoted the viral video of the little boy trying to debate his side of a disagreement with his mother. And while that clip is a source of...