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| Dotting the I's and Crossing the T's: Documentation Compliance |
| Friday, May 22, 2020 |
| 12:00 PM–3:00 PM |
| To Be Determined |
| Area: EDC/AUT; Domain: Service Delivery |
| CE Instructor: Thea H. Davis, M.S. |
| THEA H. DAVIS (Autism Bridges; MassCAP), EILEEN MENDES (MassCAP), BARBARA HUNT (Autism Bridges), CATHY J. BOOTH (Autism Bridges) |
| Description: Providing insurance funded services to individuals with autism requires more than just assessing the individual, developing the treatment plan, and providing direct instruction. Understanding state and federal laws related to service delivery, documentation, and billing; as well as understanding contract terms and distinctions in medical necessity criteria across payers can be challenging to navigate. Missing one small but critical regulation, policy, or sentence in a contract can make or break a business. This workshop will offer guidelines on ethical documentation practices, retention schedules for medical records, conformance to documentation expectations with respect to medical necessity criteria, preparing for an external audit, conducting internal audits, and how to navigate the back of the house needs. |
| Learning Objectives: The participant will be able to understand essential elements of a medical record The participant will be able to access relevant regulatory and payer policy information The participant will be able to design documentation forms that cover insurance regulated session notes and treatment plans developed from primary resources. (DSM5, CPT Manual, CPT Assistant, Insurance Contracts, and Federal guidelines) |
| Activities: Core content and examples will be taught through lecture. Their will be guided practice and group discussion |
| Audience: Level: Intermediate Target audience: Owners of ABA Companies, and BCBA's and clinicians providing Adaptive Behavior Services as defined int the CPT Manual |
| Content Area: Practice |
| Instruction Level: Intermediate |
| Keyword(s): Compliance, documentation, medical billing |