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0 BACB General CEUs $20 1 hr 14 min On-Demand

General CEU: Credentialing and Contracting

Credentialing and Contracting is the kind of topic that looks straightforward until it collides with the speed, ambiguity, and competing demands of clinic sessions and day-to-day service delivery. In Credentialing and Contracting, 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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Course Description

Successfully navigating the credentialing and contracting process can feel like trying to solve a puzzle with missing pieces—especially for ABA providers seeking long-term sustainability and payer partnerships. This interactive workshop is designed to help both clinical and operational leaders understand, streamline, and strengthen their credentialing and contracting workflows from the ground up. Participants will explore: The full credentialing lifecycle: from initial applications to recredentialing deadlines.Common payer pitfalls and how to avoid them.Key differences between individual and group enrollment (and when to use each).Strategies for negotiating and interpreting payer contracts without legalese overload.How credentialing impacts billing, reimbursement, and audit risk. Attendees will leave with practical tools, templates, and workflows they can implement immediately, whether building an in-house credentialing system or partnering with a vendor. Plus, we'll share real-world lessons from successful ABA practices who've turned credentialing into a strategic advantage—not just a paperwork burden.

What You'll Learn

  1. Identify the key steps in the credentialing lifecycle from initial application through recredentialing.
  2. Describe common payer pitfalls in the credentialing process and strategies to avoid them.
  3. Evaluate how credentialing status impacts billing, reimbursement, and audit risk for ABA providers.

CEU Credits Earned

Certification BodyCreditsType
BACB® 0
AAPC 1
AMBA 1

About the Instructor

SS
Sarah Schmitz
CPB-I, CMRS-I,CPB,CPC

Sarah discovered her love for medical billing and coding over 20 years ago. She completed training at the top of her class and received Magna Cum Laude from the American Academy of Professional Coders. After her son was diagnosed with Autism, she had to stop working full time to allow him to receive therapies. Sarah put all her energy into learning the most she could about the available therapies for Autism. When their provider said they would no longer be taking her insurance, she recognized the need in the ABA specialty for an advocate for providers who had much heart and education for children, but a gap in knowledge of the ins and outs of medical insurance. Putting her passion for billing and coding into practice, she founded Comprehensive Billing Consultants in 2014, and it quickly became a nationally recognized Autism Services billing, consulting, and credentialing company. Sarah has also created an ABA Billing Bootcamp and multiple onsite consulting opportunities for providers who are trying to ensure that they have the strongest team possible. Because Sarah and many members of her team have family members on the Autism spectrum, the motivating culture of Comprehensive Billing Consultants is providing the best support and service to these ABA providers, knowing that THEY are providing the opportunity for children to grow and evolve in such a beautiful way. Sarah is coauthor of Revenue Cycle Management for ABA Therapy

Workshop
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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