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About HEALTH$HIELD
- Web-based application that stores patient medical data and makes it possible for patients to have access to all their healthcare claims in a
secure, private, HIPAA compliant, easy-to-read and user-friendly format.
- Enables patients to effectively manage, control and reduce their healthcare costs.
- Guards against Medical Identity Theft and fraud, waste and abuse.
- Monitors patient data and alerts users when abnormal medical spending behavior occurs - similar to when credit card companies alert customers when
they believe fraudulent activity has transpired.
- Our “Fraud Fighters” flag records and alert patients of possible fraudulent activity and contact patients when appropriate.
Healthcare is complicated. HEALTH$HIELD makes it simple.
- Finds and fixes billing errors
- Duplicate Claims
- Medically Unnecessary Services
- “Never Events” (service not rendered but billed for)
- Educates patients to understand their healthcare bills
- Engages patients to protect and advocate for themselves
Competitive Advantage
- Derived from 18 years of audit experience throughout the healthcare industry
- An innovative patient tool built off of traditional audit tools and algorithms/queries
- Patient Advocates and “Fraud Fighters” are Clinical, Audit & Investigative and Health IT Experts
For a demonstration of Health$hield, please fill out our contact form.
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| Healthcare Fraud |
In 2006, an attorney and TPA owner were ordered to jointly make restitution of $24,678,000 from an employee benefit plan fraud scheme. |
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