Behavioral health claims have long operated outside the scope of traditional payment integrity programs.

As volume increases, and error rates can approach 50 percent, this gap is becoming harder to ignore. At the same time, parity enforcement is intensifying, creating new compliance risks for payers that lack consistent oversight across behavioral health and medical claims.

Without updated approaches, organizations face growing exposure.

This session explores what is changing and how leading organizations are responding. It breaks down the historical challenges behind behavioral health claims review and outlines practical approaches to strengthening oversight while maintaining provider alignment.

You will learn:

• Key forces driving change in behavioral health, including utilization and enforcement trends
• Where gaps in claims review persist and how they create risk
• How to apply consistent claims oversight in a compliance-safe way, while minimizing provider abrasion

Any information provided by Everest Group or Beckers are not the opinion of Machinify