Healthcare Fraud Shield

Healthcare Fraud Shield Healthcare Fraud Shield provides fraud, waste, abuse and error (FWAE) consulting services for the healthcare industry.

Our team has extensive expertise in fraud detection technology, prevention and management. Healthcare Fraud Shield provides new and unique Fraud, Waste, Abuse and Error (FWAE) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against fraud. Leveraging our comprehensive fraud experience, we deliver fresh insights and new approaches to combat the largest challenge of our time - the delivery of honest, efficient and compassionate healthcare.

📍 Live from the Medicaid Innovations Forum!Bill Palmisano is on-site representing Healthcare Fraud Shield at this year’s...
02/04/2026

📍 Live from the Medicaid Innovations Forum!

Bill Palmisano is on-site representing Healthcare Fraud Shield at this year’s Medicaid Innovations event—where payers, providers, and innovators are coming together to tackle today’s biggest challenges in Medicaid.

Stop by our booth to learn how HCFS helps Medicaid plans:
✅ Detect fraud, waste, abuse & error (FWAE)
✅ Strengthen audit & compliance efforts
✅ Scale payment integrity without slowing care

Let’s talk smarter fraud prevention—from pre-pay to post-pay and every record in between.

🗓️ February 3–5 | St. Petersburg, FL
📩 info@hcfraudshield.com

🗓️ Upcoming Speaker Alert – March 11, 2026Karen Weintraub, EVP of Healthcare Fraud Shield, will be presenting at the IAS...
02/04/2026

🗓️ Upcoming Speaker Alert – March 11, 2026

Karen Weintraub, EVP of Healthcare Fraud Shield, will be presenting at the IASIU Delaware Valley Chapter meeting in Newtown, PA.

Her topic:
🔍 Detecting and Preventing Phantom Provider Schemes

From shell entities and stolen identities to collusive billing tactics—phantom provider schemes remain one of the most elusive fraud threats in healthcare. Karen will break down real-world detection methods using AI, link analysis, and predictive modeling to expose invisible fraud and protect payment integrity.

📍 In person & virtual
🕙 March 11 | 10 AM ET
📧 RSVP by March 5 to nooned@nationwide.com

📍 Live from Dallas!Karen Weintraub and Paula Clemente are repping Healthcare Fraud Shield at the Medical Cost Containmen...
02/03/2026

📍 Live from Dallas!

Karen Weintraub and Paula Clemente are repping Healthcare Fraud Shield at the Medical Cost Containment Series this week—alongside a few very committed helpers. These Labubu compliance monsters may be small, but they’re serious about fraud detection and cost containment. 💼💡

Stop by our table to meet the team (and the Labubus!), and learn how the AI-powered HCFSPlatform™ is helping payers:

✅ Detect FWAE faster
✅ Scale cost containment strategies
✅ Strengthen compliance without sacrificing care quality

📅 Feb 2–4 | Dallas, TX
📩 Want to connect? Email us at info@hcfraudshield.com

🎓 Elevate Your Expertise at !We're thrilled to announce that attendees of our HCFSElevate 2026 User & Industry Conferen...
02/03/2026

🎓 Elevate Your Expertise at !

We're thrilled to announce that attendees of our HCFSElevate 2026 User & Industry Conference can earn:

✅ 7 Continuing Professional Education (CPE) credits toward their AHFI® designation
✅ 3 AAPC Continuing Education Units (CEUs) for ongoing professional development

Join your peers in SIU, payment integrity, compliance, and fraud detection for two days of cutting-edge content, real-world insights, and powerful networking.

📧 Email info@hcfraudshield.com if you're interested in attending.
📅 Save the date: April 21–22, 2026 | Austin, TX

The National Health Care Anti‑Fraud Association (NHCAA) has awarded the live program HCFS 7 CPE credits toward the AHFI® designation. Granting of this approval in no way constitutes endorsement by the NHCAA of the program, content, or program sponsor

📍 LIVE from Phoenix!Vanessa Morotti is on-site at HCCA’s Managed Care Compliance Conference representing Healthcare Frau...
02/02/2026

📍 LIVE from Phoenix!

Vanessa Morotti is on-site at HCCA’s Managed Care Compliance Conference representing Healthcare Fraud Shield!

If you're here, stop by and connect—we’re diving into:

✅ AI-powered fraud detection
✅ Scalable prevention tools
✅ End-to-end audit & compliance insight

Let’s talk smarter strategies to protect payment integrity and reduce risk across Medicare Advantage, Medicaid, and more.

🗓️ Feb 2–3 | Phoenix, AZ
📍 Come find us at the conference floor!

🚨 Tired of chasing false positives?Join Healthcare Fraud Shield and Health Plan Alliance for a high-impact webinar: "Dir...
02/02/2026

🚨 Tired of chasing false positives?

Join Healthcare Fraud Shield and Health Plan Alliance for a high-impact webinar: "Dirty Data, Clean Results: The Visible Difference Between a Vendor and a Partner"

🔍 We’ll cover:
✔️ Why data mining models often generate false positives
✔️ How to refine your data and tune your algorithms
✔️ Smarter questions to ask your vendor
✔️ Practical strategies to cut through the FWA noise

📅 March 17 | 🕛 12PM ET
🎤 Featuring Karen Weintraub, EVP, Healthcare Fraud Shield

If your team is spending more time sorting than solving — this session is for you.

👉 Register here: https://www.healthplanalliance.org/

Just SIU/payment integrity things.
01/30/2026

Just SIU/payment integrity things.

🚨 New Episode Alert – This is one you don’t want to miss!S5, E3: Behind the Med Spa Curtain is live now.From IV drips an...
01/29/2026

🚨 New Episode Alert – This is one you don’t want to miss!
S5, E3: Behind the Med Spa Curtain is live now.

From IV drips and stem cells to ghost doctors and unlicensed injections, this is not your typical med spa story. In this jaw-dropping episode, we go inside a so-called "wellness clinic" where patient safety took a backseat.

💬 Featuring an exclusive interview with a former nurse who blew the whistle!

🎧 Listen now on Spotify: https://open.spotify.com/show/6qfH3TsWECZwxyAUzqptqy?si=axbOggMCTkKVEm6x4fOOqw
or visit https://www.hcfraudshield.com/podcast/ for all other listening options.

01/28/2026

🔐 Data privacy isn’t a feature. It’s the foundation. This , we’re doubling down on protection and prevention.

💡 Smarter AI
🔐 Stronger security
📉 Less fraud

📍 NEXT WEEK - HCFS is heading to HCCA’s Managed Care Compliance Conference, Feb 2–3 in Phoenix, AZ!We’re joining complia...
01/27/2026

📍 NEXT WEEK - HCFS is heading to HCCA’s Managed Care Compliance Conference, Feb 2–3 in Phoenix, AZ!

We’re joining compliance leaders to talk real-world risk, fraud, and payment integrity strategies.

✅ AI-powered detection
✅ Scalable prevention tools
✅ End-to-end insight for payers

Let’s connect and explore smarter ways to strengthen compliance programs.

HCFS is attending the 17th Annual Medicaid Innovations Forum!📅 February 3–5, 2026📍 St. Petersburg, FL (St. Petersburg Ma...
01/26/2026

HCFS is attending the 17th Annual Medicaid Innovations Forum!
📅 February 3–5, 2026
📍 St. Petersburg, FL (St. Petersburg Marriott Clearwater)

We’re excited to connect with industry leaders at this premier Medicaid event focused on quality, accountable care and strategic innovation. Stop by the Healthcare Fraud Shield (HCFS) booth to learn how our AI‑powered platform enhances payment integrity and supports SIUs in detecting and preventing fraud, waste, abuse & error.

👋 Meet Bill Palmisano — he’ll be onsite ready to share insights, answer your questions, and demo how HCFS helps Medicaid payers stay ahead of fraud.

Don’t miss this opportunity! Come say hi and explore smarter fraud prevention together.

👉 https://medicaidinnovations.com/

It’s 2026. Why are you still doing this to yourself?Manual reviews. Legacy workflows. Clunky case logs.HCFS gives you th...
01/23/2026

It’s 2026. Why are you still doing this to yourself?
Manual reviews. Legacy workflows. Clunky case logs.

HCFS gives you the fraud-fighting power you actually need:
✅ AI that flags smarter
✅ NLG summaries that explain the “why”
✅ Workflows built for SIU & payment integrity, not spreadsheets

Make this the year you stop duct-taping your fraud tools.

Address

16052 Swingley Ridge Road Ste 200
Chesterfield, MO
63017

Telephone

+18883338140

Website

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