May 2026: Protect Your Revenue — The R.I.S.E. Series (Impact & Exposure)
Part 2 of a 4-Part Series for Behavioral Health Facility Owners | April–July 2026
R.I.S.E Series: Impact & Exposure
Thank you to everyone who joined Part 2 of the R.I.S.E. Series. In this session, Erin Burke (CEO & Founder, Hansei), Joy Farnsworth (VP of Revenue Cycle Management), and Jessica Daugherty (Director of Revenue Cycle Management) explored the factors driving today’s increase in audit activity — and what behavioral health operators can do to reduce financial exposure.
Passcode: +Nf61hgU
What We Covered
Coding & Billing Practices in Behavioral Health
Facility vs. professional billing distinctions
Selecting the most appropriate codes
Payer-specific billing nuances
“Revenue defensibility” vs. revenue capture strategies
Audit Risk, Prepayment Reviews & Recoupments
Anthem and Cigna audit trends
Common documentation vulnerabilities
Appeal strategies and defensible response practices
Contract Terms & Financial Exposure
Timely filing limitations
Bundled service language
Readmission clauses
Mandatory arbitration provisions
BlueCard & California-Specific Considerations
Blue Shield of California’s transition away from Magellan carve-outs
Claim routing between Anthem and Blue Shield
Potential geographic restrictions and related implications
Transitioning Billing Vendors & PPR Support
Managing legacy claims during vendor transitions
Pricing structure considerations
Resolving recurring denial patterns, including admission-agreement denials
Overview of The Full R.I.S.E. Series
A 4-month deep dive into compliance, exposure, and your rights as a facility owner.
R — Regulatory Notice I APRIL
Your payors are on notice. Audits are accelerating. California is where the hammer is falling first — but this is national.
I — Impact & Exposure I MAY
Your financial and legal exposure is real. Full recoupment, interest, penalties, network exclusion, and potential fraud referrals. Six to seven figures.
Join us for our future discussions:
S — Standards in Coding I JUNE 9th
If your codes aren’t compliant, you’re the one holding the bag — not your billing company. Their name isn’t on the claim. Yours is.
E — Enforcement & Rights I JULY 14th
The only defense is knowing your regulatory rights — how to challenge denials, demand transparency, and hold your billing partner accountable.