ABOUT THIS PODCAST 🔗
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.
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.
Update frequency:
bimonthly
Average audio length:
22 minutes
Guest interviews
Has sponsors
English
United States
31 episodes
since Sept. 24, 2020
episodic
LATEST EPISODE 🔗
Just in time for spooky season, The F Files is uncovering the mysteries of psychotherapy documentation and coding! From suspicious session times and missing interventions to unclear treatment goals and incomplete progress notes, our team explores common audit findings and the red flags reviewers sh…
PREVIOUS EPISODES 🔗
In Part 2 of our SIU Roundtable, we explore how Medicare, Medicaid, and commercial payers approach fraud investigations when claims and schemes cross payer lines. Hear real-world perspectives on coordination of benefits, investigative responsibilities, communication gaps, and why collaboration matt…
Same mission. Different playbooks.
In this episode of The F Files, we bring together investigators from vendor, payer, and government environments to compare how fraud investigations really work. From leads to outcomes, hear how perspective shapes every step. Part 2 coming soon.
Too-good-to-be-true promises often hide the biggest fraud schemes. In this episode, Mandi and Daphne explore the “pot of gold” illusion in fraud, from leprechaun folklore to the real-world deception behind the Theranos scandal. The episode also features a conversation with HCFS team member Paula ab…
From bloodletting and Botox to ghost doctors and falsified lab codes, this episode exposes the dark side of "wellness" clinics and concierge med spas. Join hosts Daphne Krout and Mandi Cook as they uncover firsthand accounts of risky procedures, insurance manipulation, and outright fraud.…
Non-emergency transport might sound routine, but it's become a hotspot for fraud. In this episode of The F Files, hosts Daphne and Mandi dig into schemes involving falsified mileage, upcoded services, and even transport crews lacking certification. From bizarre van rides to six-figure fraud cases, …
Phantom providers haunt healthcare systems — billing for services never rendered, using identities that don’t exist. In this episode, hosts Daphne Krout and Mandi Cook pull back the sheet on these ghostly schemes and reveal how SIUs and analytics teams can expose the fraud behind the facade.
In this special handoff episode, EVP Karen Weintraub passes the torch to our new hosts and shares what’s ahead for the Healthcare Fraud Shield podcast - including a new identity!
Season 4 will be a series of interviews with members of our own Special Investigations Unit. We will showcase different members of our team including the director, investigators, coders and clinicians who will join each episode for a fun reflective chat on their first case/various experiences and …
Season 4 will be a series of interviews with members of our own Special Investigations Unit. We will showcase different members of our team including the director, investigators, coders and clinicians who will join each episode for a fun reflective chat on their first case/various experiences and …
Disclaimer: The podcast and artwork embedded on this page are from Healthcare Fraud Shield, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.
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