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ABA Documentation Audit Findings, Code by Code: What the OIG Flagged on 97153, 97155, 97156, and the Session Notes Auditors Are Reading

ABA Documentation Audit Findings, Code by Code: What the OIG Flagged on 97153, 97155, 97156, and the Session Notes Auditors Are Reading

by Ethan Webb | May 6, 2026 | Regulation

Key Takeaways The audits are documentation audits, not clinical audits: OIG findings turn on whether session notes, signatures, credentials, and treatment plans support what was billed. The clinical question of whether ABA was medically necessary was never reviewed....
Behavioral Health Intake Failure: How Referral Management Problems Cost Psychiatric and Rehab Facilities $600,000 Per Month

Behavioral Health Intake Failure: How Referral Management Problems Cost Psychiatric and Rehab Facilities $600,000 Per Month

by Ethan Webb | Apr 24, 2026 | Blog

Key Takeaways Referrals arrive through up to six channels simultaneously: fax, encrypted email, phone, walk-in, and web form, each routed to the same staff managing patients in crisis. The competitive response window is under 8 minutes in major markets. Most...
ABA and Behavioral Health M&A in Q1 2026: The Compliance Reckoning Is Splitting the Market in Two.

ABA and Behavioral Health M&A in Q1 2026: The Compliance Reckoning Is Splitting the Market in Two.

by Ethan Webb | Apr 20, 2026 | Regulation

Key Takeaways ABA and behavioral health M&A bifurcated sharply in Q1 2026. Scaled, compliant operators drew competitive bids. Everyone else did not. Wall Street Journal investigations into Medicaid ABA billing, published in March, triggered federal OIG audits...
Selling a Behavioral Health Practice: What Your Financial Statements Need to Show Before Due Diligence Starts

Selling a Behavioral Health Practice: What Your Financial Statements Need to Show Before Due Diligence Starts

by Ethan Webb | Apr 10, 2026 | M&A

Key Takeaways Deals do not usually fall apart because a behavioral health business is bad. They fall apart because the financial statements do not tell the story a buyer needs to read, and smaller operators often do not discover this until they are already in the...
What Do Operators Keep Getting Wrong About AI in Behavioral Health?

What Do Operators Keep Getting Wrong About AI in Behavioral Health?

by Ethan Webb | Mar 30, 2026 | Technology

Key Takeaways AI accelerates broken processes, it doesn’t fix them. Process discipline must come first. ABA’s 50-state Medicaid patchwork makes off-the-shelf AI tools unreliable without clean, specialty-specific data. Revenue cycle, workforce, and...

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