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| Ethical Issues in Billing for ABA Services |
| Friday, May 25, 2018 |
| 4:00 PM–7:00 PM |
| Manchester Grand Hyatt, Seaport Ballroom C |
| Area: PRA/AUT; Domain: Service Delivery |
| CE Instructor: Melissa L. Olive, Ph.D. |
| MELISSA L. OLIVE (Applied Behavioral Strategies LLC) |
| Description: This workshop will focus on ethical issues specifically related to billing for ABA services. Participants will learn about confidentiality requirements related to billing, federal laws related to billing, coding rules and procedures, internal policies to prevent billing fraud, and available software to assist agencies in billing ethically. Information will be provided in lecture format with case studies as examples. The legal and ethical responsibilities of a behavior analyst will be discussed. Time will be allotted for extensive question and answer. Detailed handouts will be provided. |
| Learning Objectives: At the conclusion of the workshop, participants will be able to: (1) describe how the current BACB Professional and Ethical Compliance Code applies to providing and billing for ABA services; (2) describe key components of HIPAA and HITECH and how they relate to providing and billing for ABA services; (3) describe relevant policies from the Centers for Medicaid and Medicare; (4) describe the relevant CPT coding rules that apply; (5) describe the appropriate use of new and old CPT codes; (6) compare and contrast documents from ABAI and from AMA related to billing for services; (7) identify strategies for prevention of billing fraud. |
| Activities: Lecture, Discussion, Case Study, Question and Answer |
| Audience: Practicing Behavior Analysts, business owners, supervisors of practicing behavior analysts |
| Content Area: Practice |
| Instruction Level: Intermediate |
| Keyword(s): Billing, Business, Ethics, Insurance |