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.


44th Annual Convention; San Diego, CA; 2018

Workshop Details

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Workshop #W103
CE Offered: BACB — 
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



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