23 episodes

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), our Shared Analytics across payers, 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 Healthcare Fraud Shield

    • Technology
    • 5.0 • 3 Ratings

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), our Shared Analytics across payers, 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.

    Season 4, Episode 4: Listen to Kelli Hess, Healthcare Fraud Shield's Senior Investigator

    Season 4, Episode 4: Listen to Kelli Hess, Healthcare Fraud Shield's Senior Investigator

    Season 4 will be a series of interviews with members of our own Special Investigations Unit.  We will showcase different members of our team including the director, investigators, coders and clinicians who will join each episode for a fun reflective chat on their first case/various experiences and lessons learned.  In this episode, Kelli Hess who has vast experience investigating both Medicare and Commercial plan data will walk through her background in the FWA industry and one of her first experiences. If you would like more information, contact us at SIU@hcfraudshield.com

    • 26 min
    Season 4, Episode 3: Listen to Maria Seedorff, Healthcare Fraud Shield's Senior Clinical Investigator

    Season 4, Episode 3: Listen to Maria Seedorff, Healthcare Fraud Shield's Senior Clinical Investigator

    Season 4 will be a series of interviews with members of our own Special Investigations Unit.  We will showcase different members of our team including the director, investigators, coders and clinicians who will join each episode for a fun reflective chat on their first case/various experiences and lessons learned.  In this episode, Maria Seedorff who has a wealth of information will walk through her background in the FWA industry and one of her first experiences. Maria is a chiropractor, a Certified Professional Coder, and Accredited Health Care Fraud Investigator and one of our FWA gurus.

    • 20 min
    Season 4, Episode 2: Listen to Ken Cole, Healthcare Fraud Shield's Director of Special Investigations

    Season 4, Episode 2: Listen to Ken Cole, Healthcare Fraud Shield's Director of Special Investigations

    Season 4 will be a series of interviews with members of our own Special Investigations Unit.  We will showcase different members of our team including the director, investigators, coders and clinicians who will join each episode for a fun reflective chat on their first case/various experiences and lessons learned.  In this episode, our Director of Special Investigations, Ken Cole will walk through his background in the FWA industry and one of his first experiences investigating cases using Healthcare Fraud Shield's platform.

    • 28 min
    Season 4: Episode 1 - Season of Firsts, our First FWA Investigations

    Season 4: Episode 1 - Season of Firsts, our First FWA Investigations

    Season 4 will be a series of interviews with members of our own Special Investigations Unit.  A different member of our team of investigators, coders and clinicians will join each episode for a fun reflective chat on their first case and lessons learned.  In this first episode, our EVP Karen Weintraub will walk through her experience in her first case that contained all the key elements from data mining, onsite audits, medical record retrieval and reviews, interviews, working with attorneys, settlement, negotiation and more....

    • 15 min
    Season 3: Episode 4 - Healthcare Fraud Shield's Shared Analytics

    Season 3: Episode 4 - Healthcare Fraud Shield's Shared Analytics

    Welcome to Season 3, Episode 4 of the Healthcare Fraud Shield podcast. In this episode Karen Weintraub (along with an appearance from her mighty blue macaws) will discuss our Shared Analytics initiative across clients used to detect emerging schemes, and trends for potential fraud, waste and abuse.    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.    Do you have any questions or podcast topic ideas or need assistance registering for our webinars?  Email us at kweintraub@hcfraudshield.com.

    • 15 min
    Season 3: Episode 3 - Travelling Physicians

    Season 3: Episode 3 - Travelling Physicians

    Welcome to Season 3, Episode 2 of the Healthcare Fraud Shield podcast. In this episode Karen Weintraub will discuss travelling physicians and potential for fraud, waste and abuse.    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: REGISTER HERE.    Do you have any questions or podcast topic ideas or need assistance registering for our webinars?  Email us at kweintraub@hcfraudshield.com.

    • 14 min

Customer Reviews

5.0 out of 5
3 Ratings

3 Ratings

LDrake201 ,

Better than Great

Karen is wealth of information, extremely humble about her knowledge, and delivers all of this in a way that is easily understood.

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