Why Payers And Providers Need A Better Compliance Bridge with Paige Dustmann and Derek Staub

About this episode

This episode discusses the need for better compliance systems in behavioral health care, featuring insights from Paige Dustmann and Derek Staub.

Compliance works better when documentation supports care in real time instead of becoming a burden after the fact. In this episode, Paige Dustmann and Derek Staub discuss how fraud, waste, and abuse pressures are reshaping behavioral health compliance for providers, payers, and managed care organizations. Paige explains how Monolith Health helps teams capture services, assessments, and treatment planning in real time, reducing paperwork and improving audit readiness. Derek highlights how changing regulations, random audits, and documentation gaps can put even well-intentioned providers at risk, emphasizing the need for stronger systems and clearer communication with MCOs. Together, they explore how better workflows, state-aligned lesson plans, and proactive compliance tools can protect organizations while ensuring clients receive care that meets their real needs. Tune in and learn how better documentation, stronger compliance systems, and clearer payer-provider communication can reduce risk and improve behavioral health care delivery! Resources: Learn more about Monolith Health on their LinkedIn and visit their website here.

People in this episode

Host: Saul Marquez

Guests: Paige Dustmann, Derek Staub

Topics covered

• compliance
• behavioral health
• healthcare documentation
• fraud prevention
• provider-payer communication

Keywords

• compliance
• behavioral health
• documentation
• audit readiness
• healthcare providers
• managed care organizations
• fraud
• waste
• abuse

Mentioned in this episode

Organizations: Monolith Health, MCOs

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