by Ethan Webb | Jun 14, 2026 | Regulation
Key Takeaways The problem: Behavioral health has long relied on subjective assessment and manual documentation, leaving providers exposed to claim denials, audit risk, and uneven clinical quality as payers tighten scrutiny. The response: Companies showcased at...
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....
by Ethan Webb | Apr 24, 2026 | Regulation
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...
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...
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...
