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1 BACB General CEUs $10 1 hr 3 min On-Demand

General CEU: Building a Culture of Compliance for RCM

Building a Culture of Compliance for RCM 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 Building a Culture of Compliance for RCM, 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 Women in Behavior Analysis

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Course Description

With all states having mandates that require some level of insurance coverage for the treatment of autism, providers have turned to health care funders as a primary source of reimbursement for services. Building a culture of compliance within your Revenue Cycle Management team can aid in building a collaborative force in identifying and solving obstacles before they become risks and barriers to care. In this webinar, we will outline the functions and roles within the revenue cycle that can contribute to adhering to compliance standards aligning with your core values which can build confidence in helping providers stay out of harm's way of fraudulent activity. We will also review steps to take in setting up a voluntary compliance program in your organization and where revenue cycle management falls into that plan.

What You'll Learn

  1. Explain the impact of RCM roles in your Compliance program.
  2. Setting up a Voluntary Compliance Program per OIG guidelines.
  3. Internal Monitoring vs Auditing.

CEU Credits Earned

Certification BodyCreditsType
BACB 1 General

About the Instructor

MS
Michele Silcox-Beal
CPMA

Michele Beal is a nationally respected leader in revenue cycle management with a specialized focus on ABA therapy billing, RCM workflow optimization, and regulatory compliance. With over two decades of experience in healthcare reimbursement, Michele has built a career in helping autism service providers navigate the evolving and often challenging world of payer contracting, claims management, and audit preparedness. As the founder of ABAB and MKS Consulting, two highly regarded national firms serving ABA providers, Michele established herself as a trusted expert for organizations at all stages of growth, from early-stage practices to large-scale agencies operating across multiple states and payer systems. In early 2023, she merged her firm with Rethink Behavioral Health, where she served as VP of RCM Quality until the end of 2024. She now serves as the Executive Vice President of Revenue Cycle Management at Bierman Autism, where she drives strategic oversight and operational excellence across all facets of the revenue cycle. Michele holds certifications as both a Certified Professional Medical Auditor (CPMA) and a Certified Medical Reimbursement Specialist (CMRS). Her unique blend of clinical funding insight and compliance expertise enables her to conduct in-depth risk assessments and ensure organizations maintain integrity in their billing operations. In an environment of increasing regulatory scrutiny, she equips providers with the tools and knowledge to stay audit-ready and avoid costly missteps. Her mission is simple but powerful: to bring providers peace of mind through clarity, compliance, and confidence in their revenue systems—so they can focus on what matters most: delivering life-changing services to the families they serve.

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Clinical Disclaimer

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.

60+ Free CEUs — ethics, supervision & clinical topics