Behavioral health is unfortunately often targeted by bad actors as an opportunity for exploitation. The esoteric nature of behavioral services can be vulnerable to fraud, waste, and abuse (FWA) due to a lack of physical symptoms. But investigating FWA in behavioral health can boil down to flagging suspicious billing patterns and due diligence. In a recent case, Cotiviti’s special investigations unit (SIU) flagged suspicious activity from a provider exhibiting strange billing patterns for HCPCS codes H2014 and T1017.
