In the vast maze of medical billing, most claims follow the rules. Most codes match the care. But every so often… a claim strays from the pattern. A service that never happened. A modifier that whispers a lie. The data twitches. The story doesn’t add up. And that’s when we go looking. Because when claims get weird… we get to work.
Meet Your Hosts
Daphne Krout
LPN, CPC, CDEO, CPMA🩺Nurse
🕵️♀️Clinical investigator
📚Research nerd
🎙️Co-host @HealthcareFraudShield
Daphne is a licensed practical nurse and clinical investigator at Healthcare Fraud Shield. Prior to jumping headfirst into the healthcare field, Daphne was a paralegal for 13 years…
Mandi Cook
MSW, LSW, CPC, CPMA
🌿Licensed social worker
🕵️♀️Clinical investigator
🐾Garden-loving dachshund wrangler
🎙️Co-host @HealthcareFraudShield
Mandi is a licensed social worker and clinical investigator with Healthcare Fraud Shield, where she specializes in detecting and investigating healthcare fraud, waste, and abuse…
