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The Intersection of Ethics, Current Procedural Terminology (CPT) Codes, and School Consultations: Fraudulent Billing Happens Every Day |
Saturday, May 24, 2025 |
3:00 PM–3:50 PM |
Marriott Marquis, M4 Level, Liberty N-P |
Area: DDA/CBM; Domain: Service Delivery |
CE Instructor: Tina Guidry, M.Ed. |
Chair: Tina Guidry (Clinician With A Mission) |
MARIA CAMMARATA (Cammarata & Cammarata, P.L.) |
TINA GUIDRY (Clinician With A Mission) |
JON S. BAILEY (Florida State University, Ret.) |
Abstract: Complying with the Behavior Analyst Certification Board (BACB) Ethics Code for Behavior Analysts requires 1) practicing within the scope of competence, 2) conforming with legal and professional requirements and 3) understanding the risks of multiple relationships in various locations. Fraudulent insurance billing and other unethical practices occur every day in the field of Applied Behavior Analysis in clinics and schools. As contracted providers with insurance carriers, Board Certified Behavior Analysts (BCBAs) must comply with all legal obligations and may be held accountable by federal and state authorities for unethical billing practices. The challenge is about bridging the gap between ethical practices and billing requirements that help ensure high quality services for valued patient outcomes. It is essential that Board Certified Behavior Analysts (BCBAs) have proper training, education and a support system comprised of experienced professionals in the field. Board Certified Behavior Analysts (BCBAs) need to thoroughly understand their roles and responsibilities included under their provider contracts, complying with Current Procedural Terminology (CPT) codes and identifying important factors relevant to the service locations where therapy is provided. |
Instruction Level: Intermediate |
Target Audience: Board Certified Behavior Analysts Registered Behavior Technicians Professors Teachers Educational Professionals |
Learning Objectives: 1. Participants will be able to identify ethical billing practices 2. Participants will be able to connect BACB practices with CPT codes 3. Participants will be able to establish ethical billing standards with business leaders |
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