The Behavioral Health Underground
You think your organization is fine. Claims are going out. Payments are coming in. Funding is in place. But behind the scenes? Revenue is leaking. Documentation doesn’t fully support what’s billed. Patient liability is unclear. And value-based care is being talked about but not operationalized. Sonda Kunzi and Gary Humble take a direct look at what’s actually happening inside behavioral health organizations. From Medicare, Medicaid, and commercial payer challenges to credentialing breakdowns, audit risk, and the realities of grant and board funding, they connect the dots between how services are delivered—and how organizations actually survive. Based in Ohio with experience across multiple states, they focus on what doesn’t change: the fundamentals that drive compliance, financial stability, and long-term success. If you’re leading, managing, or responsible for the business side of behavioral health, this is the conversation you should already be having.
Episodes
In this episode of The Behavioral Health Underground, Sonda Kunzi and Gary Humble discuss why documentation has become one of the most important pieces of the revenue cycle for behavioral health organizations.
As utilization management, prior authorization, prepayment review, and post-payment scrutiny continue to shape the payer environment, organizations can no longer afford to wait for a denial before identifying gaps. The clinica...
Behavioral health organizations are facing a perfect storm: expanding prior authorization requirements, increased prepayment and post-payment reviews, more clinical denials, and growing pressure on already-thin cash reserves.
In the first episode of Behavioral Health Underground, Sonda Kunzi and Gary Humble examine what these changes mean for mental health and substance use disorder providers. They discuss the operational burden of ...
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