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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46th Annual Convention; Washington DC; 2020

Workshop Details

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Workshop #W67
CE Offered: BACB — 
Ethics
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

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