S5, E1: Who You Gonna Bill? Haunted by Phantom Providers
From The F Files by Healthcare Fraud Shield
October 30, 2025 · 33 min · Season 5 · Episode 1
About this episode
This episode discusses the issue of phantom providers in healthcare billing and how to detect such fraud.
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.
People in this episode
Hosts: Daphne Krout, Mandi Cook
Topics covered
- healthcare fraud
- phantom providers
- billing schemes
- analytics
- fraud detection
Keywords
- phantom providers
- healthcare fraud
- billing
- fraud detection
- analytics
Mentioned in this episode
Organizations: Healthcare Fraud Shield
More episodes of The F Files
- The SIU Roundtable: Vendor, Payer, and Government Perspectives, Part 1 · May 7, 2026 · 33 min
- S5,E4: Emerald Illusions & Pots of Gold · March 17, 2026 · 19 min
- S5,E3: Behind the Med Spa Curtain · January 29, 2026 · 35 min
- S5, E2: Vans, Scams, and Suspicious Miles · December 18, 2025 · 39 min
- Season 5 - The Handoff · September 30, 2025 · 8 min
- Season 4, Episode 4: Listen to Kelli Hess, Healthcare Fraud Shield's Senior Investigator · June 6, 2023 · 27 min
Explore listener stats, chart rankings, contacts and more on the The F Files podcast page.