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Machine Learning Authors: Yeshim Deniz, Pat Romanski, Liz McMillan, Elizabeth White, Corey Roth

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Healthcare Fraud Shield Now Offers SIU Services

CHESTERFIELD, Mo., Feb. 12th, 2013 /PRNewswire/ -- Healthcare Fraud Shield, a company focused solely on providing the best fraud, waste, and abuse solutions to the healthcare industry now offers SIU Services to healthcare insurance payers to complement their Fraud, Waste, and Abuse platform FWAShield.

SIU Services include lead generation, identification of plan vulnerabilities, comprehensive case investigations, medical record reviews, training services and more.

"Insurance companies today face the challenge of protecting their network against fraud, waste, and abuse without adversely impacting their Medical Loss Ratio (MLR). Moreover, Special Investigation Units (SIU) are confronted with reduced budgets and increasingly strained resources. Fully outsourcing or partially outsourcing components of SIU responsibilities serve as a solution to the budgetary constraints," says Karen Weintraub, Executive Vice President SIU at Healthcare Fraud Shield.

The SIU Services team at Healthcare Fraud Shield has over 30 years experience with a diverse set of skill sets including Clinical RN, Certified Professional Coders, Auditors, and Accredited Health Care Fraud Investigators. "Utilizing a team of health care fraud experts in conjunction with an all-encompassing expert software solution is critical to successfully combat fraud, waste, and abuse," says Kate Shaker, FWA Subject Matter Expert.

About Healthcare Fraud Shield

Healthcare Fraud Shield offers a fully integrated Fraud, Waste, and Abuse software solution platform called FWAShield. FWAShield utilizes unique and proprietary data sources to maximize Return on Investment (ROI) and achieve superior results. Our platform is deployed utilizing a Software-as-a-Service model which allows us to quickly adopt new system enhancements and fraud analytics with minimal work for our customers. Our platform is designed to make the user experience simple, fast, and effective. FWAShield integrates distinctive algorithms and an expert rules-based methodology to reduce the excessive and unwanted false positives present in most other fraud detection software programs. www.hcfraudshield.com

Contact: Tony Rademeyer, [email protected], (636) 284-3559

SOURCE Healthcare Fraud Shield

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