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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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44th Annual Convention; San Diego, CA; 2018

Workshop Details

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Workshop #W30
CE Offered: BACB
Becoming an Expert on CPT Codes
Thursday, May 24, 2018
4:00 PM–7:00 PM
Room to be Announced
Area: PRA; Domain: Service Delivery
CE Instructor: Ashley Williams, M.S.
KATHERINE A. JOHNSON (Advances Learning Center), ASHLEY WILLIAMS (ABACS), KEVIN J. SCHLICHENMEYER (TACT, LLC ), BRANDON HERSCOVITCH (ABACS, LLC), JESSICA WENIG (Advances Learning Center)
Description: This workshop provides attendees with a detailed description of the American Medical Association's CPT codes, used for billing ABA services. Attendees will understand what is billable and non-billable under the CPT codes, when to use each code and how these codes differ from the HCPCS codes. General considerations will be discussed with regard to valuing CPT and HCPCS billing code sets, considering practice expenses, and practice fee schedules, within the constraints of relevant antitrust laws. An update will also be provided on proposed revisions and amendments to the current CPT codes.
Learning Objectives: At the conclusion of the workshop, participants will be able to: (1) identify at least one CPT code used by LBAs and BCBAs to bill for insurance-funded ABA services; (2) identify at least one similarity and one difference between CPT codes and H codes; (3) list a key element in the process of secondary billing; (4) list at least one strategy for calculating practice expenses under contracts to capture all clinical and non-clinical expenses when providing insurance-funded ABA; (5) identify at least one potential impact (inherent contingency) of untimed CPT codes upon their practice.
Activities: The workshop will include brief lecture, discussion, practice exercises in small groups, and question/answer sessions. Opportunities to provide written and oral responses will be provided. Packets with supplemental materials will be given to each participant.
Audience: The target audience for this workshop is practitioners who provide insurance-funded services.
Content Area: Practice
Instruction Level: Intermediate
Keyword(s): billing, CPT codes, HCPCS codes, insurance

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