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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!
Healing the Bottom Line: Active Wound Care vs. Routine Nursing Services
When it comes to healing, sometimes our skin needs a little more than a kiss it and make it better approach. Complex, non-healing, or chronic wounds require clinical interventions to jump start the...
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...