FREE Presentation by Baker Tilly- Revenue Integrity and Reimbursement Risk: How to Prevent Denials and Drive Compliance
Date: January 8th 12pm – 1pm
ONLINE VIA ZOOM
Revenue Integrity and Reimbursement Risk: How to Prevent Denials and Drive Compliance
In the second webinar of our compliance and operations series, we turn to one of the most pressing challenges facing behavioral health and human services organizations: maintaining revenue integrity in an increasingly complex reimbursement environment. As providers navigate OMIG oversight, OPWDD expectations, Medicaid billing rules, and evolving payer requirements, even small breakdowns in documentation, coding, or front-end workflows can lead to denials, delayed payments, and compliance exposure.
This session focuses on the highest-impact drivers of reimbursement risk and offers practical, prevention-oriented strategies organizations can implement immediately. We will examine how revenue integrity fits within a broader compliance framework, highlight common patterns identified through audits and operational reviews, and provide a simple blueprint for building or strengthening a defensible revenue integrity program. Designed for compliance leaders, finance teams, billing managers, and operational stakeholders, this session delivers a concise but actionable roadmap to reduce denials, improve billing accuracy, and drive sustainable revenue performance.
Participants will be able to:
- Pinpoint the most common drivers of denials and reimbursement risk in behavioral health and Medicaid-funded programs.
- Explain how revenue integrity connects to Medicaid compliance requirements, including OMIG program elements and OPWDD expectations.
- Apply practical preventive strategies to strengthen documentation, improve encounter accuracy, and reduce denials.
- Outline the essential components of a defensible revenue integrity program that supports both compliance and financial stability.