Our unique case management system can be integrated with our other products, or utilized on a standalone basis and assists in automating many of the manual tasks associated with the typical healthcare fraud case workflow. The reporting, tracking and communication hub of the FWAShield platform that is fully assimilated to work cohesively with both PreShield and PostShield.

CaseShield is designed to give management and staff an organized and easily navigable focal point, keeping track of current and historical case files, documentation storage, document template generation, case linking to external resources, medical record storage and tracking, extensive reporting capability, financial tracking in accordance with the National Health Care Anti-Fraud Association financial reporting standards, state and federal regulatory reporting requirements and so much more.

Healthcare Fraud Shield understands that not all insurers are the same and the landscape is constantly changing, therefore we’ve created a fully customizable system to change with your shifting needs. Our clients are our number one priority and we make certain you are not alone in your efforts. At Healthcare Fraud Shield, all clients experience our first-rate customer service with fast turnaround time, and an associate who is available to you at all times to assist you with:

  • Customizing the product to suit your company’s needs
  • Promptly integrating new and emerging fraud rules
  • Provide guidance on industry schemes and practices

View Full CaseShield Product Sheet

Additional HCFS Products and Services

An integrated fraud, waste, and abuse solution that utilizes unique and proprietary data sources to maximize Return on Investment (ROI) and achieve superior results.

A pre-payment solution to reduce dollars lost from payment of ineligible claims.

A post-payment solution to monitor claims and suspicious activities.

A pharmacy analytics solution to identify improperly billed prescription drugs.

An AI-driven anomaly detection platform that identifies risk vectors from emerging schemes and behaviors.

An ad-hoc tool to run real-time queries and complex pattern reports from loaded data.

Expert analysis of claims, development of cases, and detection of systemic weaknesses.