Your Expert SIU Services Partner for Healthcare Fraud, Waste, Abuse, and Error

Today’s insurance companies not only need to protect their network against fraud, waste, and abuse — they need to minimize the impact on their Medical Loss Ratio (MLR) and prevent provider abrasion.

Areas of Expertise

The HCFS SIU team includes clinical staff who are DCs, LPNs, RNs in addition to Accredited Health Care Fraud Investigators (AHFI), and as Certified Professional Coders (CPC, CPC-P, CDEO, CPMA, CDC) and Certified Fraud Examiners (CFE), and routinely provides training nationally for various organizations, including the NHCAA, AHIP, HPA, ACAP, and more.

Analyze Claims Data

We’ll help find alerts needing evaluation and develop sustainable cases.

Detect System Weaknesses

Because too much time and money is lost to false alarms.

Prevent Fraud

With policy recommendations and educational resources to improve claims fraud detection.

Investigate Cases

Let our experts help address suspicious activity.

Medical Records

Review records to determine coding accuracy.

Education or Training

We provide FWA training,  consultations on coding,  record reviews, data analysis, investigative processes and more.

Customer Testimonial

“Their tools and their customer service, it’s outstanding — they’re the best in the space.”


Sr. Manager, Payment Integrity

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Customer Support & Training

Our committed customer support doesn’t stop at the sales desk.


Implementation Process Support.


End user training.


Access to a robust library of educational materials.


Monthly webinars.

Need Assistance with Any of Your HCFS Products?