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| ABA Billing Codes Commission Presents: Is That Billable? Understanding How to Bill Ethically and Effectively |
| Thursday, May 21, 2020 |
| 4:00 PM–7:00 PM |
| To Be Determined |
| Area: AUT/DDA; Domain: Service Delivery |
| CE Instructor: Sara Gershfeld Litvak, M.A. |
| JULIE KORNACK (Center for Autism and Related Disorders), BRYCE MILER (Trumpet Behavioral Health), SARA GERSHFELD LITVAK (Behavioral Health Center of Excellence) |
| Description: Led by members of the ABA Billing Codes Commission, this workshop will provide specific guidance for each of the CPT I billing codes for adaptive behavior. Elements of the workshop will include: • Review of billing code descriptors in the context of an ABA treatment plan • Best practices in clinical documentation for each billing code • Distinguishing the difference between supervision and direction of the technician • Billing for assessments • Medically Unlikely Edits – proper use and current status • Modifiers for complexity, telehealth • Potential changes to the codes • Minimizing claims denials • Additional codes to request in a contract negotiation • Valuing the codes • Ethical guidelines Participants will gain a deeper understanding of the intent of the billing codes and Medically Unlikely Edits; common billing obstacles; sustainable and ethical billing practices; the process and potential of valuing the codes; and changes to anticipate in the future. |
| Learning Objectives: At the conclusion of the workshop, participants will be able to: (1) Understand current ABA CPT coding requirements to minimize claims denials; (2) Understand issues with current ABA CPT coding in order to advocate for and participate in making necessary changes; (3) Identify critical elements in a contract regarding the billing codes; (4) Be aware of ethical requirements; and (5) Understand new resources available through the Commission to correct Insurance Carrier payment errors on a global level. |
| Activities: This workshop will involve lecture, discussion, and small group breakouts. Participants will learn general concepts and then have the opportunity to apply them to specific circumstances. To ensure that the workshop addresses all relevant billing code issues, participants will also have the opportunity to ask questions related to their personal experience with the billing codes, which may differ widely based on geographic regions, payor contracts, and state laws. Participants will receive a toolkit to apply what they learn to their own practices. |
| Audience: The target audience is behavior analysts and others who use the adaptive behavior codes to bill for ABA-based programs and those professionals who bill ABA on behalf of behavior analysts. |
| Content Area: Practice |
| Instruction Level: Intermediate |
| Keyword(s): ABA codes, billing codes, CPT, insurance |