The F Files

The F Files

By Healthcare Fraud ShieldTechnology
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The F Files episodes

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

    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 [email protected].

    12 min
  • Episode 1 - 2021, What's New?

    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 [email protected].

    12 min
  • Episode 7 - Evaluating a FWA Vendor

    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 [email protected].

    10 min
  • Episode 6 - Searching Smarter

    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 [email protected].

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

    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 [email protected].

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

    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 [email protected].


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

    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.

    31 min
  • Episode 2 - Conducting Onsite Audits

    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!

    28 min
  • The F Files

    In the vast maze of medical billing, most claims follow the rules. Most codes match the care. But every so often… a claim strays from the pattern. A service that never happened. A modifier that whispers a lie. The data twitches. The story doesn’t add up. And that’s when we go looking. Because when claims get weird… we get to work.

    1 min

About The F Files

From the publisher's feed

Welcome to The F Files, your front-line resource for tackling healthcare fraud, waste, abuse, and error.