Behavioral health continues to be one of the fastest evolving areas of care—and one of the most vulnerable to fraud, waste, and abuse (FWA). As treatment models expand, regulations shift, and coding and documentation requirements grow more complex, health plans are facing an increasingly challenging landscape. Bad actors are adapting quickly, exploiting new trends and gaps in oversight, making behavioral health FWA harder than ever to detect.
Nowhere is this challenge more acute than in Medicaid. State Medicaid programs are under intense scrutiny as utilization rises and enforcement efforts accelerate. New and stricter state guidance are exposing vulnerabilities that demand immediate attention from special investigation units (SIUs) and payment integrity teams. While Medicaid has been hit hardest, many of the same schemes are beginning to surface across other lines of business.
Join Cotiviti’s behavioral health and FWA experts on Tuesday, May 19 at 1 pm ET as we share insights drawn from investigations, data analysis, and regulatory expertise, including:
- The latest guidance designed to stop Medicaid fraud and abuse
- How emerging behavioral health trends are being exploited by bad actors
- Key takeaways from the recent federal release of behavioral health provider data
- Tools and approaches to identify and stop FWA without creating provider abrasion
The National Health Care Anti-Fraud Association (NHCAA) is extending one (1) Continuing Professional Education credit toward the AHFI® designation to attendees of the live webinar who complete the NHCAA attestation.
If you can’t attend live, be sure to register and we’ll send the on-demand recording as soon as it’s available. Don’t miss this opportunity to gaina clearer understanding of current risk patterns and practical strategies you can apply to strengthen your behavioral health FWA programs.
