Tom Kelly to Speak on Payor Audits at APNC 2026 Spring Conference
Event Details
Location
710 North Lakeshore Dr
Lake Junaluska, North Carolina 28745
Tom Kelly, AGG Healthcare of counsel, will present at the Addiction Professionals of North Carolina (“APNC”) 2026 Spring Conference, addressing the growing wave of commercial payor audits targeting mental health and substance use disorder (“MH/SUD”) providers.
His session, “Inside the Audit: How Commercial Payors Target MH/SUD Providers — and How to Fight Back,” will provide a detailed look at how payors are using data analytics, documentation reviews, and aggressive legal theories to support large-scale recoupment demands. These audits increasingly focus on areas such as member-responsibility collection, utilization review practices, and network participation compliance.
Tom will offer a practical, litigation-informed roadmap for responding to audits, preserving reimbursement, and reducing exposure. Drawing from real-world disputes and ERISA litigation, the session will equip providers with strategies to strengthen compliance and defend against financial risk.
To register and learn about common audit triggers affecting behavioral health providers today, please click here. To explore how AGG supports providers in navigating audits and protecting revenue, please contact Tom.
- Thomas E. Kelly
Of Counsel
