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.

46th Annual Convention; Online; 2020

Event Details


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Special Event #177
CE Offered: PSY/BACB
CPT Billing Codes: An Update From the ABA Billing Codes Commission
Sunday, May 24, 2020
10:00 AM–10:50 AM
Virtual
Chair: Katherine Mahaffy (Association for Behavior Analysis International)
CE Instructor: Katherine Mahaffy, Ph.D.
 

CPT Billing Codes: An Update From the ABA Billing Codes Commission

Abstract:

In the 18 months since the 2019 CPT I billing codes for adaptive behavior took effect, members of the ABA Billing Codes Commission have worked to disseminate information, resolve problems, address concerns, and identify next steps. This presentation builds on the information presented in the workshop ABA Billing Codes Commission Presents: Is That Billable? Understanding How to Bill Ethically and Effectively. This presentation will provide an update on the work of the ABA Billing Codes Commission and will address recurrent questions, including the effort to increase uniformity in how the codes are interpreted; the proper use of Medically Unlikely Edits; the process to value codes; and the next steps in the Commission’s effort to bridge the gap between billable services and ABA that reflects best practices.

 
JULIE KORNACK (Center for Autism and Related Disorders), STEPHEN GILLASPY (American Psychological Association)
 

CPT Billing Codes: An Update From the ABA Billing Codes Commission

Abstract:

In the 18 months since the 2019 CPT I billing codes for adaptive behavior took effect, members of the ABA Billing Codes Commission have worked to disseminate information, resolve problems, address concerns, and identify next steps. This presentation builds on the information presented in the workshop ABA Billing Codes Commission Presents: Is That Billable? Understanding How to Bill Ethically and Effectively. This presentation will provide an update on the work of the ABA Billing Codes Commission and will address recurrent questions, including the effort to increase uniformity in how the codes are interpreted; the proper use of Medically Unlikely Edits; the process to value codes; and the next steps in the Commission’s effort to bridge the gap between billable services and ABA that reflects best practices.

 
Target Audience:

Behavior analysts

Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) discuss the purpose of CPT billing code descriptors; (2) discuss the appropriate use of Medically Unlikely Edits (MUEs); (3) state the difference between codes that are valued and codes that are carrier priced; (4) discuss the role of multi-disciplinary collaboration in the billing codes process.
 
 

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