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.