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The F Files

The F Files

Written by: Healthcare Fraud Shield
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 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.Healthcare Fraud Shield
Episodes
  • S5, E2: Vans, Scams, and Suspicious Miles

    S5, E2: Vans, Scams, and Suspicious Miles
    Dec 18 2025

    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, they reveal how something as simple as a ride to dialysis can turn into a $6 million scam. Whether you're in SIU, compliance, or analytics, get ready to uncover red flags and sharpen your detection game.
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    39 mins
  • S5, E1: Who You Gonna Bill? Haunted by Phantom Providers

    S5, E1: Who You Gonna Bill? Haunted by Phantom Providers
    Oct 30 2025

    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.
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    33 mins
  • Season 5 - The Handoff

    Season 5 - The Handoff
    Sep 30 2025

    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!
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    8 mins
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