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Navigating Complex Balance Billing Compliance Requirements in Behavioral Health

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How do organizations maintain compliance without disrupting their admissions workflows and care delivery models?

Increased regulations around price transparency and balance billing are causing behavioral health providers to adjust their patient admission and billing strategies to comply with state and federal statutes. However, strategies like waiving or reducing patient financial responsibility can lead to civil or criminal charges.


What proactive steps can providers take to implement best practices around balance billing compliance while remaining true to their missions?

Read what our experts have learned about:

  • Eliminating Kickbacks in Recovery Act (EKRA)
  • No Surprises Act
  • Affordable Care Act
  • State Statutes (e.g., Florida False Claims Act)

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