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Seminar: Risk Reality and Preventative Solutions In The Commercial Payer Landscape
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This seminar, co-sponsored by Infinity Behavioral Health Services, Nelson Hardiman, and AATA, will provide lessons learned for surviving an audit, offer some tips for how to avoid being flagged in the first place, and give an overview of the commercial payer SIU process.

3/26/2018
When: Monday, March 26, 2018
11:00 am - 2:00 pm
Where: Nelson Hardiman Conference Facilities
11835 W Olympic Blvd
Ste 900
Los Angeles, California  90064
United States
Contact: AATA
(888) 958-2282


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The only Risky Business we like is that movie with Tom Cruise ... and to be fair, we don’t like it that much anymore -- it hasn’t aged well.

But there is one thing in our space that never gets old: a provider billing an insurance company runs the risk of an audit.

No one likes an audit, but comprehensive reviews are a reality in the addiction treatment and recovery industry. With heightened attention toward billing practices, providers need to be proactive in preventing and eliminating accusations of fraud or abuse.

There are best practices to handle an audit that will benefit your recovery program or addiction treatment center. There are also best practices to avoid being audited.

There are red flags for fraud detection as the payers employ investigators to look for anything that resembles fraudulent practices. One red flag can trigger an investigation or audit, which results in a full review of a provider’s insurance methods, billing practices, referrals, marketing practices, medical and billing records, spreadsheets, claim information, and supporting documentation. Enforcement actions may result from an investigation by the SIU. That can include freezing all payments until the investigation is complete, accusations of fraud, or a court case.

Audits can have severe consequences for both finances and workflow. As the behavioral health field expands to better meet the needs of a national addiction crisis, payers are putting more attention on the industry, and subjecting providers to significantly more scrutiny.

This seminar, co-sponsored by Infinity Behavioral Health ServicesNelson Hardiman, and AATA, will provide lessons learned for surviving an audit, offer some tips for how to avoid being flagged in the first place, and give an overview of the commercial payer SIU process,.

Industry experts will discuss the issues most frequently addressed by payers, how to address them in an audit, and how to make the changes to your practice today to lower the chance of being audited.


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11835 W Olympic Blvd.
Suite 1090
Los Angeles, CA 90064
888.958.2282

 

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Behavioral Health Association of Providers helps you feel confident that you comply with changing legal regulations and industry best practices while reinforcing your reputation within your network of ethical business practitioners.

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