FWA Insights: Spotting overpayments in mental health services

Demand for mental health services is at an all-time high across the nation. 11.7% of surveyed adults say they have regular feelings of worry, nervousness, or anxiety. And while health plans have made it a priority to meet these mental health needs, the nature of treatment can often lead to unfortunate opportunities for fraud, waste, and abuse (FWA).

In this installment of Cotiviti FWA Insights, we’ll dive into a specific case our special investigations unit (SIU) examined involving mental health services—one that led to identification of an overpayment of more than $2 million.