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 refle

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

Apr 25th, 2023 20m 9s

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

Mar 15th, 2023 28m 6s

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

Feb 13th, 2023 15m 56s

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 lesson

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

Aug 31st, 2022 15m 27s

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 sc

Season 3: Episode 3 - Travelling Physicians

Jul 20th, 2022 14m 16s

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

Season 3: Episode 2 - Acetaminophen Toxicity and what Healthcare Fraud Shield is doing about it!

Apr 5th, 2022 15m 30s

Welcome to Season 3, Episode 2 of the Healthcare Fraud Shield podcast. In this episode Karen Weintraub will describe Acetaminophen Toxicity and how FWA analytics companies such as Healthcare Fraud Shield can detect potentially harmful doses bei

Season 3: Episode 1 - What's new in 2022? Karen Weintraub (and her dogs) talk about new codes (modifiers, places of service and diagnosis codes).

Feb 24th, 2022 18m 44s

Welcome to Season 3, Episode 1 of the Healthcare Fraud Shield podcast. In this episode Karen Weintraub (along with some cameos from her dogs) will walk through a few new things happening in 2022 and spending a little time focusing on things oth

Episode 7: FWA Chat with a Retired OIG Agent

Jun 29th, 2021 39m 48s

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

Episode 6: COVID-19 FWA Reflection

May 11th, 2021 13m 6s

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 podca

Episode 5: Ouch! Pain Management Coding

Apr 13th, 2021 28m 12s

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 fo

Episode 4 - Reviewing the Basics of DRGs

Mar 9th, 2021 19m 5s

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

Episode 3 - AI and the Challenges for Fraud, Waste and Abuse Detection

Feb 15th, 2021 27m 12s

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://anch

Episode 2 - Prepayment - How to save time and increase ROI.

Feb 6th, 2021 11m 52s

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/

Episode 1 - 2021, What's New?

Jan 14th, 2021 11m 31s

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:

Episode 7 - Evaluating a FWA Vendor

Dec 9th, 2020 9m 42s

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 yo

Episode 6 - Searching Smarter

Nov 17th, 2020 23m 22s

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

Episode 5 - The Good, the Bad, and the Ugly of Investigations: Part 3 - Overpayments and Recoveries

Nov 10th, 2020 18m 57s

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

Episode 4 - The Good, the Bad, and the Ugly of Investigations: Part 2 - Medical Records

Oct 27th, 2020 21m 2s

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

Episode 3 - The Good, the Bad, and the Ugly of Investigations: Part 1 - Data Mining

Oct 14th, 2020 30m 55s

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, requesti

Episode 2 - Conducting Onsite Audits

Oct 6th, 2020 27m 47s

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

Episode 1 - A little about Healthcare Fraud Shield

Sep 28th, 2020 9m 17s

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 in