The Intelligence Gap: What Fraud Teams Are Missing

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 organizations are still reacting after payment. If you lead SIU, compliance,...
The Sound of Silence: Improper Hearing Aid Billing

The Sound of Silence: Improper Hearing Aid Billing

“Listen, Linda!” We’ve all seen, laughed at and maybe even quoted the viral video of the little boy trying to debate his side of a disagreement with his mother. And while that clip is a source of Internet amusement, the need to listen, or rather, the...
NEW RecordPlus™: A Game-Changer in Medical Record Review

NEW RecordPlus™: A Game-Changer in Medical Record Review

Healthcare Fraud Shield (HCFS) has officially launched RecordPlus™, a powerful new solution designed to transform how payers, auditors, and investigators review medical records. What It Does Medical records are one of the most time-consuming and error-prone components...
Achoo! Respiratory Tests to the Rescue!

Achoo! Respiratory Tests to the Rescue!

Ahhh, Spring is in the air and that means the pollen is too. That familiar “achoo!” echoing might be more than just a fleeting reaction. For many, it’s a persistent reminder of the pollen power that’s currently dominating the atmosphere. Pair...