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...