Healthcare Fraud Shield

Healthcare Fraud Shield

Healthcare Fraud Shield’s fraud, waste, and abuse platform – FWAShield™

– is an integrated solution consisting of AIShield™ (AI driven anomaly detection), PreShield™ (pre-payment), PostShield™ (post-payment), RxShield™ (pharmacy analytics), CaseShield™ (case management), and QueryShield™ (ad-hoc querying tool). In this podcast we will discuss the latest trends and news in the fraud, waste, and abuse industry.

Healthcare Fraud Shield (Trailer)
Trailer 37 sec

All Episodes

Welcome to Season 2, Episode 7 of the Healthcare Fraud Shield podcast. In this episode we talk to Eric Rubenstein a retired OIG Agent who currently the Director of Litigation/FWA Support at Advize Health.  If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message. If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you would like to sign up for our webinars you can monitor our future webinars here: www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email us at kweintraub@hcfraudshield.com.

Jun 29

39 min 48 sec

Welcome to Season 2, Episode 6 of the Healthcare Fraud Shield podcast. In this episode we reflect on COVID-19 FWA and discuss what we thought vs. what actually happened as it pertains to FWA.  If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message. If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you would like to sign up for our webinars you can monitor our future webinars here: www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email us at kweintraub@hcfraudshield.com.

May 11

13 min 6 sec

Welcome to Season 2, Episode 5 of the Healthcare Fraud Shield podcast. In this episode we have a special guest, Toni Elhoms from Alpha Coding Experts who will discuss pain management coding and schemes.  If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message. If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you would like to sign up for our webinars you can monitor our future webinars here: www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email us at kweintraub@hcfraudshield.com.

Apr 13

28 min 12 sec

Welcome to Season 2, Episode 4 of the Healthcare Fraud Shield podcast. In this episode we will discuss Diagnosis Related Groups (DRGs).  If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message. If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you would like to sign up for our webinars you can monitor our future webinars here: www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email us at kweintraub@hcfraudshield.com.

Mar 9

19 min 5 sec

Welcome to Season 2, Episode 3 of the Healthcare Fraud Shield podcast. In this episode we will discuss AI and the Challenges for Fraud, Waste and Abuse Detection.  If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message. If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you would like to sign up for our webinars you can monitor our future webinars here: www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email us at kweintraub@hcfraudshield.com.

Feb 15

27 min 12 sec

Welcome to Season 2, Episode 2 of the Healthcare Fraud Shield podcast. In this episode we will address the who, what, where, when and why of Prepayment. If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message. If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you would like to sign up for our webinars you can monitor our future webinars here: www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email me at kweintraub@hcfraudshield.com.

Feb 6

11 min 52 sec

This is the first episode of Season 2 and we look forward to providing exciting content in 2021.  In this episode we will review some of the new HCPCS codes for 2021.    If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message.   If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com.  If you would like to sign up for our webinar in January, go to www.tinyurl.com/hcfswebinar.    Do you have any questions or podcast topic ideas?  Email me at kweintraub@hcfraudshield.com.

Jan 14

11 min 31 sec

This episode is about the questions you want to ask yourself when evaluating a FWA Vendor.   This is the last episode of Season 1, but we look forward to providing more content in 2021.   If you would like to record a message for our podcast you can go to https://anchor.fm/hcfs/message.   If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you have any questions or would like to request a podcast on a specific topic, email kweintraub@hcfraudshield.com.

Dec 2020

9 min 42 sec

This episode is about searching smarter throughout your audits and investigations.  We discuss incorporating research tools and techniques to assist in the identification of information relevant to fraud, waste and abuse.  If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you have any questions or would like to request a podcast on a specific topic, email kweintraub@hcfraudshield.com.

Nov 2020

23 min 22 sec

This episode is a continuation of a series on the good, the bad and the ugly of investigations.  In part 3 of this series we will focus on medical overpayments and recoveries, but stay tuned for future podcasts in this series.    If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you have any questions or would like to request a podcast on a specific topic, email kweintraub@hcfraudshield.com.

Nov 2020

18 min 57 sec

This episode is a continuation of a series on the good, the bad and the ugly of investigations.  In part 2 of this series we will focus on medical records, but stay tuned for future podcasts in this series on requesting refunds, negotiating and referrals.    If you want to learn more about Healthcare Fraud Shield's integrated FWA software solution, check out our website at www.hcfraudshield.com. If you have any questions or would like to request a podcast on a specific topic, email kweintraub@hcfraudshield.com.

Oct 2020

21 min 2 sec

This episode is the start of a series on the good, the bad and the ugly of investigations.  In part 1 of this series we will focus on data mining, but stay tuned for future podcasts in this series on medical records/gathering evidence, requesting refunds and negotiating and referrals.    If you want to learn more about Healthcare Fraud Shield's solution, check out our website at www.hcfraudshield.com.

Oct 2020

30 min 55 sec

Healthcare fraud investigators are tasked with gathering information and evidence used to disprove or prove an allegation of potential fraud, waste or abuse.  In this episode, we discuss some of our experiences with conducting onsite audits as well as tips and tricks.  Thanks for listening!

Oct 2020

27 min 47 sec

This episode is an introduction to Healthcare Fraud Shield.  Learn a little about our company, what makes Healthcare Fraud Shield different and why is healthcare fraud so complicated?  Thanks for listening!  For more information, email us at info@hcfraudshield.com.

Sep 2020

9 min 17 sec