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Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.

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43rd Annual Convention; Denver, CO; 2017

Event Details

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Invited Paper Session #218
CE Offered: PSY/BACB
Don Baer Lecture: Autism, ABA, and Health Care Fraud
Sunday, May 28, 2017
10:00 AM–10:50 AM
Convention Center Four Seasons Ballroom 4
Area: PRA
Instruction Level: Intermediate
CE Instructor: Lorri Shealy Unumb, Ph.D.
Chair: Steven Woolf (Beacon ABA Services)
Lorri Shealy Unumb is a lawyer, professor, and the mother of three children: Ryan (15), who has classic autism; Christopher (11); and Jonathan (8), who has Asperger's. In 2005, she wrote ground-breaking autism insurance legislation for South Carolina (Ryan's Law) that passed in 2007 and served as the catalyst for the national movement toward autism insurance reform. Lorri began her work in autism advocacy as a volunteer. In 2008, she was recruited by the New York-based non-profit Autism Speaks, where she now advocates full-time on behalf of individuals with autism. As head of state government affairs, she has testified more than 100 times on health insurance issues in legislatures around the country.
Abstract: Increased availability of reimbursement options in autism intervention has led to increased scrutiny of the business practices of autism service providers. In particular, providers of Applied Behavior Analysis have been subject to increased scrutiny of their billing practices, which has on several occasions led to federal investigations. This session will equip providers with basic information about the federal government’s tools for investigating and prosecuting health care fraud.
Target Audience: Practitioners of applied behavior analysis, particularly business owners
Learning Objectives: At the conclusion of the presentation, attendees will be able to: (1) Identify the primary federal law being used to prosecute health care fraud; (2) Understand civil v. criminal liability for health care fraud; (3) Understand individual v. corporate liability for health care fraud.



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