Coverage Considerations for New Trends in Behavioral Therapy

May 16, 2019 1:30pm

Cavender C. (“Chris”) Kimble
Partner
Balch & Bingham LLP (Birmingham, AL)

Jonathan M. Herman
Managing Member
Herman Law Firm (Dallas, TX)

  • Addressing disputes between payors and providers involving behavioral therapies for various conditions (e.g., autism, substance use disorder (SUD), and various psychiatric conditions)
    • Developing best strategies for resolving reimbursement disputes where provider continued treatment beyond what was necessary
  • Exploring the new trend involving “wilderness therapy” and the controversy over its coverage
  • Analyzing litigation trends and best practices relative to these new therapies