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In This Issue
Press Release: Healthcare Fraud Shield Integrates TransUnion TLOxp Into FWAShield Platform
Healthcare Fraud Shield's Fully Integrated Suite of Products & Services. Check out our fully integrated Prepayment system. Contact Healthcare Fraud Shield!
MidWest Medical Fraud Symposium is looking for speakers!
Check out Healthcare Fraud Shield's Upcoming Presentations
It's Quiz Time!!!
Did you know Healthcare Fraud Shield offers SIU Services and SIU Training? 
Press Release: Healthcare Fraud Shield Integrates TransUnion TLOxp Into FWAShield Platform
  
Midwest Medical Fraud Symposium is looking for speakers who are professional coders on June 4, 2015.

Click here if you are interested.
Healthcare Fraud Shield's Fully Integrated Suite of Products & Services
QueryShield?
  
To see an overview of Healthcare Fraud Shield Products and Services click HERE  to schedule a demo.
  
 
 
 
Product Highlight-
PrePayment
Healthcare Fraud Shield developed a predictive prepayment FWA system, PreShield?  that is fully integrated with our postpayment and case management systems.  PreShield? is designed to:  
  • Focus resources on the most viable and prospective suspicious claims using real-time data
  • Daily feeds that can be tailored based on claim attributes, staff availability, staff expertise, company initiative, and regulatory alerts and guidance
  • Increase ROI
  • Reduce dollars lost by preventing fraudulent claims to be paid
  • Reduce the level of effort needed by investigators/analysts to find the fraudulent claims by reducing the excessive false positives returned by other fraud systems, allowing the staff to focus on the tangible suspicious claims/cases
  • Clear, concise and detailed alerts that provide reference points and helpful training on complex fraud topics and new schemes
  • Increase the intelligence of the product over time based on prior results, strengthening the use and efficacy of predictive analytics Work seamlessly with your postpayment and case management system
  
Healthcare Fraud Shield's Upcoming Presentations

* NHCAA Bootcamp, March 17-20, 2015

Help a Healthcare Fraud Shield Reader! 

 

One of our readers could use some assistance from our network of fraud experts.  If anyone has information pertaining to the question below, please email us at [email protected] 

 

"Is a Managed Care Organization mandated to go after Medicare overpayments when they are dealing with paying out co-payments for a non-participating provider?"

 

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Coding Corner
Send a coding question to our coding experts to [email protected]. If your question is selected, you will be eligible for a prize and we'll publish the question along with the answer in one of our weekly articles.
  

Welcome to Healthcare Fraud Shield's newsletter.  This week we are putting everyone to the test with a Word Scramble! Check out the quiz below.  Also, visit the Healthcare Fraud Shield blog where you can access all of our previous articles.


Sincerely,

 

Healthcare Fraud Shield

 

 


*In order to be eligible to win you must reside within the continental U.S.

Healthcare Fraud Shield offers an integrated FWA platform combining prepayment, postpayment, an ad-hoc querying tool and case management in an all-in-one solution. To see an overview of Healthcare Fraud Shield Products and Services click HERE   to schedule a demo. 
  
About Healthcare Fraud Shield

Healthcare Fraud Shield is based in Chesterfield, Missouri and provides advanced FWA (Fraud, Waste and Abuse) detection systems to the healthcare industry. The company's services enable investigators to quickly identify suspicious activity and accurately pinpoint fraud. Our unique technology allows our customers to maximize loss prevention and recovery efforts with a substantial ROI.

 
16052 Swingley Ridge Road, Suite 200,   Chesterfield, Missouri 63017
Phone: 888-333-8140 Email: [email protected]
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