by Rebecca Kneipp | Jul 22, 2025
Healthcare Fraud Shield listed as a Sample Vendor for AI Enabled Fraud Detection in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2025. Gartner recommends Payers: Prioritize solutions that clearly articulate the use of AI algorithms and ML models to identify...
by Rebecca Kneipp | Feb 12, 2025
The healthcare industry is a prime target for fraud, with billions of dollars lost annually due to inappropriate claims. While post-payment detection methods have been the traditional approach, they often fall short. The ‘pay and chase’ method can lead to large...
by Rebecca Kneipp | Jan 21, 2025
Hello January! The holiday decorations have been packed away, the eggnog jug is long empty, and the lingering scent of pine needles is fading fast. Let’s be honest, after weeks of festive cheer, indulgent meals and leisurely mornings, it was starting to be difficult...
by Rebecca Kneipp | Dec 11, 2024
As we rapidly approach the end of 2024, we reflect on some changes and adaptations in the healthcare industry. The industry faced both challenges and opportunities. We witnessed a convergence of factors shaping the future of health insurance – from continual...
by Rebecca Kneipp | Nov 12, 2024
Is it a cold? Is it the flu? Or is it just your body’s way of saying, “Enough with the pumpkin spice, already?” Whether we like it or not, cold and flu season is upon us! According to the Center for Disease Control and Prevention (CDC), an annual flu...
