Healthcare Fraud Shield (HCFS) Launches RecordPlus™: AI-Powered Solution to Combat Medical Record Review Challenges

A New Tool that Transforms Unstructured Medical Records into Actionable Intelligence, Accelerating Audit and Investigative Determinations

CHESTERFIELD, Mo., Nov. 12, 2025 /PRNewswire/ — HCFS, the industry leader in healthcare claims and audit technology, announced the launch of RecordPlus™, a breakthrough system designed to dramatically streamline the medical record review process and address the persistent issue of improper payments.

Citing industry data—where the majority of improper payments were due to missing or insufficient documentation, such as cloned records or lacking evidence to support the necessity of services provided¹—RecordPlus™ targets this core challenge by automating the most time-intensive aspects of record analysis.

Transforming Documentation into Actionable Data

RecordPlus™ is engineered to accelerate accurate audit and investigative determinations by quickly transforming complex, unstructured documents into structured, usable intelligence.

The system utilizes sophisticated Natural Language Generation (NLG), Artificial Intelligence (AI), and rule-based logic to perform rapid record analysis, enabling users to identify and extract critical health information, including:

• Protected Health Information (PHI)
• Provider details, signatures, and dates
• Anesthesia records and clinical models
• Evaluation and Management (E/M) models
• Cloning Detection
• Specific procedures and drug information

“RecordPlus™ is not just a review tool; it’s an end-to-end solution that effectively closes the documentation gap,” said Karen Weintraub, EVP at HCFS. “By providing instant access to validated, structured data buried deep within medical records, we are empowering reviewers to make accurate determinations faster than ever, which is crucial for protecting the integrity of healthcare data.”

The Power of Total Integration

A key differentiator of the new solution is its seamless integration with the HCFSPlatform™ ecosystem, which includes AuditPlus^®, PreShield^®, PostShield^®, RxShield^®, and CaseShield^®. This total integration allows RecordPlus™ to combine its extracted insights with claims data into the review workflow. This holistic approach significantly expedites the time it takes for reviewers to make appropriate, informed determinations, ensuring consistency and compliance across all investigations.

Core Capabilities and Advantages

RecordPlus™ provides essential tools to boost efficiency and compliance:

• Key Models: Uses advanced clinical models to extract critical audit insights from complex documentation.
• Expedited Searching: Features intelligent indexing and filtering tools for rapid information retrieval.
• Data Security: Recognizes PHI and secures sensitive data throughout the review workflow.
• Validation: Links Claims to Records for streamlined review and validation.
• Compliance: Identifies Relevant Policies to support compliance and audit accuracy.
• Visibility: Offers real-time visibility into request status and documentation completeness.
• Seamless Integration: Works with AuditPlus^®, CaseShield^®, PostShield^®, and other HCFSPlatform™ components.

Contact Information

For more information about RecordPlus™ you can contact us by phone at 888-333-8140, email us at info@hcfraudshield.com, or visit our website at hcfraudshield.com.

About Healthcare Fraud Shield

Healthcare Fraud Shield was founded in 2011 to offer innovative fraud, waste, abuse, and error (FWAE) solutions to the healthcare insurance industry. The focus of HCFS is solely on healthcare fraud prevention, payment integrity and compliance with a successful approach based on many unique advantages we deliver to our clients.

HCFS’s software as a service platform is an integrated solution consisting of PreShield^® (pre-payment), AIShield^® (AI), PostShield^® (post-payment), RxShield^® (pharmacy analytics), AuditPlus^®, QueryShield^® (ad hoc query and reporting tool) and CaseShield^® (case management).

The HCFSPlatform™ was developed by industry leading healthcare subject matter experts with the latest technology available today to provide the most affordable, flexible, transparent, efficient, and effective solution in the marketplace.

¹Source: https://www.gao.gov/assets/gao-24-107487.pdf
© 2025. All Rights Reserved. Healthcare Fraud Shield is a registered trademark. HCFS_BR_026 (11/6/2025)

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SOURCE Healthcare Fraud Shield