Healthcare Fraud Shield (HCFS) will be attending the NAMPI 2026 conference and exhibiting in the virtual exhibit hall. Stop by our booth to see how the HCFSPlatform helps health plans detect and prevent fraud, waste, abuse, and error across the full claim lifecycle....
Karen Weintraub, EVP at Healthcare Fraud Shield, will present “Unmasking Phantom Providers: Leveraging Link Analysis, Analytics and External Data” as part of the 2026 Schemes for Health Care Fraud Investigators and Analysts virtual program. Originally featured at the...
Recent actions by the Centers for Medicare & Medicaid Services (CMS), including targeted spending reviews and the Comprehensive Regulations to Uncover Suspicious Healthcare initiative, known as CRUSH, reflect a measurable shift in federal oversight expectations....
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,...
Applied Behavior Analysis (ABA) is commonly used to treat individuals with Autism Spectrum Disorder (ASD). Treatment is designed to improve communication, social skills, and adaptive learning. However, as the prevalence of ASD diagnoses has risen, so has the risk for...
