The F Files

Healthcare Fraud Shield 30 - The SIU Roundtable: When Fraud Crosses Payer Lines, Part 2

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.

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The F Files

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The SIU Roundtable: When Fraud Crosses Payer Lines, Part 2

The SIU Roundtable: Vendor, Payer, and Government Perspectives, Part 1

S5,E4: Emerald Illusions & Pots of Gold

S5,E3: Behind the Med Spa Curtain

S5, E2: Vans, Scams, and Suspicious Miles

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

Season 5 - The Handoff

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

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

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

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

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

Season 3: Episode 3 - Travelling Physicians

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

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).

Episode 7: FWA Chat with a Retired OIG Agent

Episode 6: COVID-19 FWA Reflection

Episode 5: Ouch! Pain Management Coding

Episode 4 - Reviewing the Basics of DRGs

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

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

Episode 1 - 2021, What's New?

Episode 7 - Evaluating a FWA Vendor

Episode 6 - Searching Smarter

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

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

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

Episode 2 - Conducting Onsite Audits

Episode 1 - A little about Healthcare Fraud Shield

The F Files