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How to Avoid Getting Wiped Out by the Wave of Commercial Payor Behavioral Health Audits: Medical Necessity and Waivers of Co-Insurance and Deductibles

Nelson Hardiman and Epstein Becker Green Webinar
Oct 04, 2018

Presented by:
Paul D. Gilbert – Member, Epstein Becker Green
John A. Mills – Partner, Nelson Hardiman

Thursday, October 4, 2018
12:00 p.m. – 1:00 p.m. ET / 9:00 a.m. – 10:00 a.m. PT

The number of commercial payor audits of behavioral health facilities has been steadily rising, forcing closures of multiple treatment facilities, straining resources, and setting up an increasingly contentious conflict between treatment providers and payors. This webinar will examine the most common issues arising in payor audits, including medical necessity, patient financial responsibility, and other issues asserted to constitute fraud, waste, or abuse. Common arguments asserted as grounds for nonpayment or recoupment of fees by insurers.

This webinar will review responsive strategies in commercial payor audits, examine defensive strategies, and best practices to avoid fraud, waste, and abuse.

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