How Are Health Plans Playing a Part in The Behavioral Health Crisis?

Sponsored by: Shift Technology (registration to this event is strictly limited by the sponsor)

Abstract:

Behavioral Health claims have become some of the highest numbered and costliest claims in the United States. Many patients with disorders such as bi-polar and mood disorders, PTSD, substance abuse and schizophrenia require complex evaluations, interventions and treatments generally over extended periods of time. With federal and state initiatives proposed for increased accessibility to services, changing codes and new forms of treatments covered, uncovering misbehaviors in behavioral health can be quite the moving target.

Added to this challenge are providers who seek to leverage complexity and the vulnerable patients they serve with potentially fraudulent or misleading diagnoses. Health plans can not only prevent fraudulent claims, but can also serve as better advocates to those patients who are in critical need of immediate and effective treatment.

In this webinar health plans will learn how reduce Fraud, Waste and Abuse (FWA) and increase quality of care by gaining a better understanding of:

• Upcoming Code and Policy Changes in 2023
• Evolving and Emerging Schemes
• Manual & AI-Powered Detection Methods
• Impact of Improved AI Fraud Detection on Behavioral Health

Join Carlyn Hoffman, AHFI, Senior Investigator from Integrity Advantage and Mark Starinsky, AHFI, CFE from Shift Technology in a discussion on upcoming changes and trends in behavioral health to get ahead of these schemes in 2023.