Documentation and auditing represent two of the most critical yet frequently underappreciated aspects of applied behavior analysis service delivery. For behavior analysts who provide services to individuals with autism spectrum disorder, particularly those funded through Medicaid or commercial insurance, the quality and completeness of clinical documentation directly impacts the sustainability of treatment, the defensibility of clinical decisions, and the protection of both clients and practitioners.
Provider: CASP CEU Center
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Join Free →Documentation and Auditing Practical Safeguards for Clinical Success Original Air Date: January 11, 2021 (as part of the CASP 2021 UnCONVENTIONal Conference) CEU offered: 1.0 Ethics CEU Short Title: Documentation and Auditing Webinar Duration: 1 hour CE Instructors: Rebecca Womack, BCBA Abstract: p.p1 { margin: 0.0px 0.0px 0.0px 0.0px; font: 11.0px 'Helvetica Neue'; color: #000000 } p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 10.0px 'Helvetica Neue'; color: #000000} Organizations that provide applied behavior analytic (ABA) services to people with autism spectrum disorder (ASD) have an ethical, legal, and contractual obligation to document their work. It is imperative that the processes for equipping behavior analysts with the tools to produce high-quality session notes also enables them to discuss the medically necessary treatment provided. Organizations must have a clear understanding of what information is required by each funding source, and how to capture the elements of treatment provided that pertain to the billed CPT® code. They must also be able to evaluate their session notes on a regular basis to ascertain the quality of documentation in order to mitigate risks in the event of an external audit. By using carefully crafted auditing tools and systematic auditing processes, organizations can efficiently evaluate their session notes. Statistical sampling enables organizations to make determinations about their auditing results supported by arithmetic confidence levels. This allows organizations to then strategically plan for how to improve their documentation as needed. This session will discuss the essential elements of documenting medically necessary treatment and recommend systems and tools for effective auditing processes.
| Certification Body | Credits | Type |
|---|---|---|
| BACB | 1 | Ethics |
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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.