NHCAA Sponsored webinar – DME Phantom Schemes: How to Leverage AI and Data Analytics

Virtual

🎭 Who’s Behind the Mask? Unmasking Phantom DME Schemes with AI Phantom providers are becoming more sophisticated and increasingly difficult to detect with traditional rules alone. Join Karen Weintraub, EVP at Healthcare Fraud Shield, for an exclusive NHCAA Sponsored webinar exploring how advanced AI, DME-targeted analytics, and external data integration are exposing hidden threats and strengthening payment integrity. 🔍 Learn how to detect: • Dormant providers spiking in activity • Geographic billing outliers • Suspicious DME combinations and shell entities See real-world cases and discover how our proactive approach helps prevent fraud before it escalates. 🔒 Exclusive to payers and government entities. 📅 Tuesday, Sept. 16, 2025 📝 Register now: https://hcfs.webex.com/weblink/register/r8dbdc0fab303b5806f373b8b6dab6c90

CAHP Annual Conference

Desert Springs, CA

Healthcare Fraud Shield is proud to join industry leaders at the CAHP Annual Conference 2025, California’s premier event for health plans navigating today’s complex regulatory and cost landscapes. We’re excited to connect with forward-thinking payers and showcase how our AI-powered tools—like PreShield®, RxShield®, and AuditPlus®—are helping California plans detect FWAE faster, prevent improper payments, and drive greater operational efficiency. Stop by and see how we’re supporting smarter, more compliant healthcare across the state.

ACAP CEO Summit

Washington, D.C.

Healthcare Fraud Shield is honored to attend the ACAP CEO Summit 2025, where mission-driven health plan leaders gather to shape the future of care and coverage. As trusted partners to ACAP-member plans, we’re proud to support community-based care with advanced tools like RxShield®, PreShield®, and AuditPlus®—designed to prevent FWAE, protect limited resources, and uphold the integrity of Medicaid and Marketplace programs. We look forward to meaningful conversations and shared strategies that strengthen care for vulnerable populations. Let’s connect at the Summit!

AAPC Wichita, Kansas – Fraud Prevention

Virtual

Healthcare Fraud Shield is excited to speak at AAPC Wichita’s Fraud Prevention event in Kansas! Our EVP, Karen Weintraub, will lead a session focused on identifying lesser-known fraud schemes that hide in plain sight—beyond the standard CPT and HCPCS codes. We’ll explore how codes like revenue, bill type, and place of service can reveal critical risk indicators and how the HCFSPlatform helps uncover them with greater speed and precision. If you're ready to level up your fraud detection strategy with smarter analytics and real-world insights—don’t miss this session!

2025 NHCAA Annual Training Conference

Nashville, TN

Healthcare Fraud Shield is excited to attend the NHCAA Annual Training Conference (ATC), the leading national event for healthcare fraud investigation and enforcement. We’re proud to join a community of dedicated professionals working to protect the integrity of healthcare. Stop by booth #805 to see how our AI-powered HCFSPlatform is helping payers detect FWAE earlier, investigate smarter, and drive measurable results across prepay, postpay, and audit workflows. Don’t miss our sessions: Unmasking Phantom Providers: Leveraging Link Analysis, Analytics, and External Data, on Wednesday, November 19 at 1:00 pm. Karen Weintraub, Executive Vice President of Healthcare Fraud Shield, and a client guest will share advanced strategies for exposing fraud in DME, labs, genetic testing, and more. This session is eligible for AAPC Coding credit for NHCAA. Enhanced Data Analytics to Support SIU Case Development on Thursday, November 20 at 4:00 pm. Ken Cole, SIU Director of Healthcare Fraud Shield and a client guest spotlight four major healthcare fraud schemes uncovered through advanced analytics, showcasing real-world cases, best practices, and how collaboration between data and SIU teams led to millions in recoveries and behavioral change. Let’s connect at ATC and move the fight against healthcare fraud forward, together.

HCFSElevate 2026 | User & Industry Conference

Austin, TX

Save the date! The 2026 Healthcare Fraud Shield User & Industry Conference is happening April 21–22, 2026 and you won’t want to miss it. Join healthcare payers, investigators, compliance leaders, and tech innovators for two days of insights, training, and collaboration focused on the future of FWAE detection and payment integrity. Explore the latest enhancements to the HCFSPlatform, hear success stories from industry peers, and gain hands-on strategies to fight fraud more effectively. We’re honored to welcome our guest speaker, Tyler Shultz—healthcare whistleblower and key figure in the Theranos case. Tyler’s powerful story of truth-telling, ethics, and accountability in healthcare innovation offers a timely reminder of the importance of transparency and vigilance in fraud prevention. Interested in attending? Email us at [email protected] for details.