Billing Health Plans for Applied Behavior Analysis Services: Essentials for RCM specialists (AAPC Index # 2501CPC071925112A) matters because it changes what a BCBA notices when decisions have to hold up in clinical documentation, payer communication, supervision records, and leadership review. In Billing Health Plans for Applied Behavior Analysis Services: Essentials for RCM specialists (AAPC Index # 2501CPC071925112A), for this course, the practical stakes show up in service continuity, accurate reporting, and defensible clinical decisions, not in abstract discussion alone.
Provider: BehaviorLive — via Comprehensive Billing Consultants (Conference)
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Join Free →Although Current Procedural Terminology® (CPT®) codes for billing applied behavior analysis (ABA) services have been available for over a decade, the codes and services may be new or unfamiliar to many RCM professionals. This presentation provides an overview of essential terms, facts, resources, and tips for ensuring accurate documentation and billing for ABA services. introduction to the ABA Coding Coalition, its resources and servicesbrief description of ABA healthcare services and how they differ from medical and other behavioral health servicesthe current CPT codes for adaptive behavior/ABA services, including key terms related concepts and rules (e.g., provider qualifications, medically unlikely edits, NCCI edits, rounding rule, concurrent billing, direct and indirect services) other helpful resources Participants will have an opportunity to ask questions following the presentation.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 2 | General |
| AAPC | 2 | — |
| AMBA | 2 | — |
Gina Green is a Board Certified Behavior Analyst-Doctoral in private practice as a consultant.. She is a co-founder and the former Chief Executive Officer of the Association of Professional Behavior Analysts, and previously held faculty and research positions at several institutions as well as leadership positions in several behavior analysis organizations. Dr. Green has authored numerous publications in conceptual, experimental, and applied behavior analysis. She co-edited the books Behavioral Intervention for Young Children with Autism and Making a Difference: Behavioral Intervention for Autism and is a co-author of Strategies and Tactics of Behavioral Research and Practice (4th ed). with James M. Johnston and Henry S. Pennypacker. She serves or has served on the editorial boards of several professional journals and the advisory boards of several autism programs and organizations as well as the B.F. Skinner Foundation. Recognitions and honors include Fellow of the American Psychological Association, the Council for Scientific Medicine and Mental Health, and the Association for Behavior Analysis; Psychology Today’s Mental Health Professional of the Year; honorary Doctor of Science degree from The Queen’s University of Belfast, Northern Ireland; California Association for Behavior Analysis Award for Outstanding Contributions to Behavior Analysis; New York State Association for Behavior Analysis John W. Jacobson Award for Contributions to Behavior Analysis; Berkshire Association for Behavior Analysis & Therapy Sidman Award for Enduring Contributions to Applied Behavior Analysis; Friend of the Kendall Centers, Modesto, CA; Autism Speaks Provider of the Year; Behavior Analyst Certification Board Michael Hemingway Award; American Psychological Association Division 25 Don Hake Translational Research Award ; California Association for Behavior Analysis Gerald L. Shook Advocacy Award; ABA in PA Initiative Trailblazer Advocate Award; and Autism Law Summit Sustained Outstanding Advocacy Award.. Dr. Green lectures and consults widely on autism and related disorders, behavioral research, effective interventions for people with disabilities, and public policies affecting the practice of applied behavior analysis.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
279 research articles with practitioner takeaways
258 research articles with practitioner takeaways
239 research articles with practitioner takeaways
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All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.