Healthcare Fraud Shield is a software company specializing in automated Fraud, Waste, and Abuse (FWA) detection solutions for the healthcare industry. Their proprietary technology and investigative expertise are designed to help healthcare organizations identify, prevent, and respond to fraudulent activities, ultimately supporting the delivery of honest and efficient healthcare services.
How does Healthcare Fraud Shield help the healthcare industry?
Healthcare Fraud Shield offers automated solutions that analyze healthcare data to detect unusual patterns or behaviors that may indicate fraud, waste, or abuse. Their platform combines advanced data analytics with the knowledge of experienced investigators to provide actionable insights for healthcare payers and organizations. By leveraging these tools, healthcare companies can more effectively safeguard against financial losses and regulatory risks associated with FWA.
What makes Healthcare Fraud Shield different?
Healthcare Fraud Shield differentiates itself through exclusive data solutions and a team with deep fraud investigation backgrounds. Their approach is rooted in continuously evolving fraud detection methodologies, providing clients with new insights and strategies to address one of the healthcare industry's most persistent challenges.
Who uses Healthcare Fraud Shield?
Healthcare Fraud Shield primarily serves organizations within the healthcare sector, including health plans, insurers, and payers seeking to strengthen their fraud detection and prevention capabilities. Specific customer names are not publicly listed.
Who founded Healthcare Fraud Shield?
Healthcare Fraud Shield was founded by a team with extensive expertise in healthcare, data science, and information security:
- Mike Moseler (Chief Executive Officer)
- Rick Epperson (Chief Information Security Officer)
- Karen Weintraub (Executive Vice President)
- Bill Van Fleit (Vice President of Data Science)
- Tony Rademeyer (Executive Vice President of Sales)
- Jeff DiMaria (Chief Technology Officer)
Their combined experience supports the company's mission to deliver innovative and effective FWA solutions.
Where is Healthcare Fraud Shield based?
Healthcare Fraud Shield is headquartered in Chesterfield, Missouri, United States. The company operates as a privately held business with a team of 11–50 employees.
For more details, visit their About page.
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