by Rebecca Kneipp | Nov 10, 2025
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...
by Rebecca Kneipp | Aug 5, 2025
AI is transforming how healthcare payers protect their dollars. One of the best places to see this impact is in payment integrity. This is where health plans can use AI to prevent fraud, waste, abuse, and errors (FWAE) before claims are paid. It’s fast, effective, and...
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 | Jul 15, 2025
The integrity of the entire healthcare system relies on accurate and honest billing practices, but what happens when there is improper billing? It impacts everyone – from individual patients to insurance payors to taxpayers. One area of the healthcare system...
