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.

🎭 Who’s Behind the Mask? Unmasking Phantom DME Schemes with AIPhantom providers are becoming more sophisticated and incr...
09/02/2025

🎭 Who’s Behind the Mask? Unmasking Phantom DME Schemes with AI
Phantom providers are becoming more sophisticated and increasingly difficult to detect with traditional rules alone.

Join Karen Weintraub, EVP at Healthcare Fraud Shield, for an exclusive NHCAA Sponsored webinar exploring how advanced AI, DME-targeted analytics, and external data integration are exposing hidden threats and strengthening payment integrity.

🔍 Learn how to detect:
• Dormant providers spiking in activity
• Geographic billing outliers
• Suspicious DME combinations and shell entities
See real-world cases and discover how our proactive approach helps prevent fraud before it escalates.

🔒 Exclusive to payers and government entities.

📅 Tuesday, Sept. 16, 2025
📝 Register now: https://hcfs.webex.com/weblink/register/r8dbdc0fab303b5806f373b8b6dab6c90

09/01/2025

🛠️ Fraud doesn’t take a day off... but you should.
This Labor Day, we’re tipping our hats to the hardworking teams across healthcare who keep systems running, claims moving, and fraud in check.

At Healthcare Fraud Shield, we’re always on, but we hope you’re logging off, relaxing, and enjoying a well-earned break.

Happy Labor Day from all of us at HCFS!

Why unravel fraud by hand?PreShield finds the signal in the chaos, before the payment goes out.
08/29/2025

Why unravel fraud by hand?
PreShield finds the signal in the chaos, before the payment goes out.

🌴 Healthcare Fraud Shield is a proud sponsor of the 2025 CAHP Annual Conference!We’re excited to join California’s healt...
08/28/2025

🌴 Healthcare Fraud Shield is a proud sponsor of the 2025 CAHP Annual Conference!

We’re excited to join California’s health plan leaders in Palm Desert from September 29 to October 1 for critical conversations on policy, innovation, and payment integrity.

📍 Find us at Booth #403
Let’s connect on how smarter technology and proactive strategies can reduce costs and strengthen compliance across the healthcare ecosystem.

See you there!

https://www.calhealthplans.org/conferences/

🚨 Session Sneak Peek – HCFSElevate 2026 🚨📅 April 21–22 | 📍 Austin, TXNot All Leads Are Created Equal: Elevate Your Case ...
08/27/2025

🚨 Session Sneak Peek – HCFSElevate 2026 🚨
📅 April 21–22 | 📍 Austin, TX

Not All Leads Are Created Equal: Elevate Your Case Strategy
Leads come in all shapes and sizes, but which ones are worth your time? At this exclusive session, we’ll share insider tips from proven case development processes to help you spot the winners, skip the dead ends, and focus on what matters.
✅ Learn how HCFS tools like AI Shield, FWA360Leads, PostShield, and Code Analysis drive proactive case identification.
✅ See real case examples in action.
✅ Walk away with a smarter, faster approach to lead evaluation.

🎓 Earn 7 Continuing Professional Education (CPE) credits toward your AHFI® designation by attending HCFSElevate.

🎟 Interested in attending? Email info@hcfraudshield.com

📚✨ What an incredible moment at NAMPI 2025!After her inspiring presentation, Dr. Charlotte Blease (👉 charlotteblease.com...
08/26/2025

📚✨ What an incredible moment at NAMPI 2025!

After her inspiring presentation, Dr. Charlotte Blease (👉 charlotteblease.com) stopped by the Healthcare Fraud Shield booth to meet with attendees and sign copies of her book. We’re proud to have hosted her alongside our team and community of fraud, waste, and abuse professionals.

Stop by booths 6 & 7 today to connect with our experts and see how HCFS helps clients recoup millions annually through smarter fraud detection.

08/26/2025

🐶 Who’s a good fraud detector?
It’s National Dog Day, and we’re celebrating the watchdog spirit: loyal, alert, and always ready to sniff out trouble.

At Healthcare Fraud Shield, our platform works a lot like your favorite four-legged friend:
✅ Always on guard
✅ Quick to catch anything suspicious
✅ Focused on protecting what matters most

📸 Now we want to see your pups! Share a photo of your dog in the comments and tell us their name (bonus points if they have a fraud-fighting superpower).

We made it to NAMPI 2025! 🎉Come say hi at booths 6 & 7! The HCFS crew is here, and we’re ready to talk all things fraud,...
08/25/2025

We made it to NAMPI 2025! 🎉
Come say hi at booths 6 & 7! The HCFS crew is here, and we’re ready to talk all things fraud, waste, and abuse.

If you’re into AI, payment integrity, or just want to meet a team that’s changing the game, swing by and let’s chat!

🤝 “Great Tool and Great Company!!”We’ll take that kind of feedback any day.“We work hand in hand with HCFS and use HCFS ...
08/25/2025

🤝 “Great Tool and Great Company!!”
We’ll take that kind of feedback any day.

“We work hand in hand with HCFS and use HCFS as our case management tool. The lead generation has been a tremendous tool for us and has led to recoveries and savings in the millions of dollars... GREAT ROI!!! HCFS... Great Tool and Great Company!!”
– 2025 Mid-Year Client Satisfaction Survey

This is what happens when smart case management meets high-impact leads. With CaseShield and FWA360Leads, clients recover faster, save more, and scale impact with every flag.

Results:
✅ Millions recovered
✅ Strong ROI
✅ Seamless team collaboration

Ready for a case management solution your investigators actually love?


Legacy logic isn’t built for today’s fraud.🐶 Get smart with PreShield: real-time rules and analytics that know what they...
08/22/2025

Legacy logic isn’t built for today’s fraud.
🐶 Get smart with PreShield: real-time rules and analytics that know what they’re doing.

🚨 NAMPI 2025 is almost here!Don’t miss Healthcare Fraud Shield at booths 6 and 7 and on the stage!🎤 Featured Session:Cod...
08/21/2025

🚨 NAMPI 2025 is almost here!
Don’t miss Healthcare Fraud Shield at booths 6 and 7 and on the stage!

🎤 Featured Session:
Codes, Schemes & FWA Risks. Decoded.
Join Maria Seedorff & Karen Weintraub as they spotlight emerging fraud schemes and the critical codes behind them—from TMS and esketamine to NEMT and psychosocial rehab.
📅 Aug 26, 11:20am - 12:20pm

🛠️ Visit Our Booth (6 & 7) to see how our solutions help payers:
✔️ Detect FWA earlier with PreShield
✔️ Streamline investigations with CaseShield
✔️ Analyze Rx claims with RxShield
✔️ Deliver smarter leads with FWA360Leads

Let’s connect on how to get faster, smarter, and more proactive in FWAE prevention.

08/20/2025

💼 What’s it like working at Healthcare Fraud Shield?
It’s where mission meets innovation.

Whether you’re in tech, analytics, or client success, you’ll join a team that’s passionate about protecting healthcare from fraud, waste, abuse, and error. We build powerful, AI-driven tools that make a real difference, and we do it in a fully remote, flexible environment that values your voice and your growth.

🚀 Explore careers with us: https://www.hcfraudshield.com/about/careers/

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16052 Swingley Ridge Road Ste 200
Chesterfield, MO
63017

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