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...
If you’ve been in the healthcare realm for at least 20 minutes, you’ve heard of skin substitutes. While it may initially sound like something in a sci-fi thriller, skin substitutes represent major advancements in the treatment of wounds. They are biological or...
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...
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...
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...
