|Reimbursement for ABA Services: Progress, Challenges, and the Future
|Monday, March 1, 2021
|3:40 PM–4:30 PM
|Area: AUT; Domain: Service Delivery
|Chair: Ian Melton (Endicott College; Journeys Behavior Learning Center)
|CE Instructor: Stephen Gillaspy, Ph.D.
|Presenting Author: STEPHEN GILLASPY (American Psychological Association)
Reimbursement for ABA services is vitally important but significant challenges continue to exist. This presentation will provide an overview of the process for developing and valuing CPT codes, describe the purpose of Medically Unlikely Edits (MUEs), review billing and coding issues associated with the provision of ABA services using telehealth, provide an overview of reimbursement challenges with ABA services, and discuss the work of the ABA Billing Codes Commission.
|Instruction Level: Intermediate
Providers utilizing the ABA CPT Codes.
|Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) discuss the process for developing and valuing CPT codes; (2) describe the purpose of Medically Unlikely Edits (MUEs); (3) discuss the provision of ABA services using telehealth; (4) state current reimbursement challenges with ABA services.
|STEPHEN GILLASPY (American Psychological Association)
|Dr. Stephen R. Gillaspy is a licensed psychologist and since August of 2019 has served as the Senior Director for the Office of Healthcare Finance within the Practice Directorate at the American Psychological Association APA). Prior to joining APA, Dr. Gillaspy was a Professor of Pediatrics within the Department of Pediatrics at the University of Oklahoma Health Sciences Center since 2005. He completed his graduate training in Clinical Psychology at Oklahoma State University and completed his Clinical Internship and a Post-doctoral fellowship in Primary Care and Health Psychology at the University of Oklahoma Health Sciences Center. Within the Section of General & Community Pediatrics he served as the Associate Section Chief, Director of Research, and Director of Clinical Psychology. Dr. Gillaspy also serves as the Director of the Oklahoma Tobacco Helpline. He has been an active researcher in the areas of pediatric obesity, tobacco control, mental health screening, health disparities, and medical education. At the state level Dr. Gillaspy has served on the Board of the Oklahoma Psychological Association and served as President. Nationally, Dr. Gillaspy has served as the American Psychological Associations Advisor for the Health Care Professional Advisory Committee to the American Medical Association’s Relative Value Update Committee (RUC) and served as a Division 54 (Pediatric Psychology) Representative to the Interdivisional Health Committee (IHC).