The F Files

Healthcare Fraud Shield
  • 5.0 (3)
  • TECHNOLOGY

Welcome to The F Files, your front-line resource for tackling healthcare fraud, waste, abuse, and error. Each episode dives into real-world schemes, emerging trends, and investigative insights from the experts working to protect payment integrity. Whether you're in SIU, compliance, or analytics, you'll get practical takeaways to help you detect faster, prevent smarter, and stay ahead of fraud. Powered by Healthcare Fraud Shield. Because detecting the truth is what we do.

  1. S5,E3: Behind the Med Spa Curtain

    6D AGO

    S5,E3: Behind the Med Spa Curtain

    From bloodletting and Botox to ghost doctors and falsified lab codes, this episode exposes the dark side of "wellness" clinics and concierge med spas. Join hosts Daphne Krout and Mandi Cook as they uncover firsthand accounts of risky procedures, insurance manipulation, and outright fraud. Featuring a special guest RN turned fraud fighter who shares what really happened behind closed doors.

    35 min
  2. S5, E2: Vans, Scams, and Suspicious Miles

    12/18/2025

    S5, E2: Vans, Scams, and Suspicious Miles

    Non-emergency transport might sound routine, but it's become a hotspot for fraud. In this episode of The F Files, hosts Daphne and Mandi dig into schemes involving falsified mileage, upcoded services, and even transport crews lacking certification. From bizarre van rides to six-figure fraud cases, they reveal how something as simple as a ride to dialysis can turn into a $6 million scam. Whether you're in SIU, compliance, or analytics, get ready to uncover red flags and sharpen your detection game.

    39 min
  3. S5, E1: Who You Gonna Bill? Haunted by Phantom Providers

    10/30/2025

    S5, E1: Who You Gonna Bill? Haunted by Phantom Providers

    Phantom providers haunt healthcare systems — billing for services never rendered, using identities that don’t exist. In this episode, hosts Daphne Krout and Mandi Cook pull back the sheet on these ghostly schemes and reveal how SIUs and analytics teams can expose the fraud behind the facade.

    33 min

  4. SEASON 5 TRAILER

    Season 5 - The Handoff

    In this special handoff episode, EVP Karen Weintraub passes the torch to our new hosts and shares what’s ahead for the Healthcare Fraud Shield podcast - including a new identity!

    8 min

  5. 06/06/2023

    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

    27 min

  6. 04/25/2023

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

    03/15/2023

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

    02/13/2023

    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....

    16 min
See All (27)

Trailers

Ratings & Reviews

5
out of 5
3 Ratings

About

Welcome to The F Files, your front-line resource for tackling healthcare fraud, waste, abuse, and error. Each episode dives into real-world schemes, emerging trends, and investigative insights from the experts working to protect payment integrity. Whether you're in SIU, compliance, or analytics, you'll get practical takeaways to help you detect faster, prevent smarter, and stay ahead of fraud. Powered by Healthcare Fraud Shield. Because detecting the truth is what we do.

Information

  • Creator
    Healthcare Fraud Shield
  • Years Active
    2020 - 2026
  • Episodes
    27
  • Rating
    Clean
  • Copyright
    © Healthcare Fraud Shield
  • Show Website
    The F Files