Coordinated Care Organizations (CCO):
Healthcare transformation regulations will require CCOs to
perform recovery audits and recoup overpayments from Medicaid and
Medicare providers. The IBHI risk mitigation team can conduct
audits on behalf of CCO's and their behavioral health provider
Behavioral Health Providers:
The IBHI audit team can perform a confidential risk assessment
to assist behavioral health providers in assessing their financial
risk. Technical assistance will also be provided to address any
areas of risk identified in the audit.
IBHI is available to perform similar audits, as described above,
under commercial insurance benefit plans.