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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!
Don’t Let Healthcare Fraud Gobble You Up
Thanksgiving is a time of bounty - for feasting, family, and giving thanks. It is a cornucopia of delicious food and cherished traditions. But for insurance companies, it can also be a stark...
NEW RecordPlus™: A Game-Changer in Medical Record Review
Healthcare Fraud Shield (HCFS) has officially launched RecordPlus™, a powerful new solution designed to transform how payers, auditors, and investigators review medical records. What It Does Medical...
The Price of Skin and High-Cost Healing: What to Look for in Skin Substitute Billing
If you’ve been in the healthcare realm for at least 20 minutes, you’ve heard of skin substitutes. While it may initially sound like something in a sci-fi thriller, skin substitutes represent major...
RPM & Moolah: Navigating the Maze of Remote Patient Monitoring
Remote patient monitoring (RPM) uses digital devices to monitor a patient's health which allows patients and providers the ability to manage acute and chronic conditions by collecting and sharing...
De-risking the Helix: Combating Genetic Testing Fraud
Genetic testing is a transformative frontier in healthcare, and its promise is undeniable. It is a powerful tool in medicine that can revolutionize patient care. Who wouldn’t want to peek into your...
Why AI in Payment Integrity Delivers Real ROI for Health Plans
AI is transforming how healthcare payers protect their dollars. One of the best places to see this impact is in payment integrity. This is where health plans can use AI to prevent fraud, waste,...