Getting Paid Starts Here: Mastering Benefits & Eligibility in ABA Billing (AAPC Index # 2502CBC0720251123A) matters because it changes what a BCBA notices when decisions have to hold up in telehealth contacts and remote supervision. For this course, the practical stakes show up in clinically sound remote service delivery, clearer caregiver support, and decisions grounded in observable interaction, not in abstract discussion alone.
Provider: BehaviorLive — via Comprehensive Billing Consultants (Conference)
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →Inaccurate or incomplete benefits verification can jeopardize claims, delay treatment, and fracture trust between ABA providers and families. This session offers a deep dive into the foundational yet often overlooked process of insurance eligibility and benefits verification—using a standardized, audit-ready form designed for ABA-specific services. Attendees will learn how to extract key data from insurance cards and payer reps, navigate behavioral vs. medical benefits, and identify crucial information such as out-of-pocket accumulations, plan funding type, code-level authorization requirements, co-treatment policies, and benefit cycles. Special attention will be given to interpreting coverage for CPT codes 97151–97158 and 0362T/0373T, verifying telehealth allowances, and recognizing when modifiers or RBT credentials are required. The presentation will include actionable guidance on building payer-specific cheat sheets, integrating benefits checks into intake workflows, and training staff to ask the right questions. Whether you're billing in-house or partnering with an RCM vendor, this session equips you to ensure cleaner claims, fewer denials, and more predictable revenue from day one.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 0 | — |
| AAPC | 1 | — |
| AMBA | 1 | — |
Director of Operations, Comprehensive Billing ConsultantsAmber Broadway brings over 25 years of healthcare experience to the table—starting in the days of paper claims and dot matrix printers. As Director of Operations at Comprehensive Billing Consultants (CBC), Amber helps ABA providers navigate the complex world of medical billing with clarity, compliance, and compassion. She’s been part of CBC’s leadership since 2017 and has played a critical role in provider onboarding, payer relations, and the development of internal SOPs and best practices.Amber is a Certified Medical Reimbursement Specialist (CMRS) and a Certified Professional Compliance Officer (CPCO). She proudly serves as CBC’s Compliance Officer and was instrumental in the company’s accreditation by the Healthcare Billing and Management Association (HBMA) for Excellence in Compliance.Known for her deep knowledge of ABA revenue cycle management and her down-to-earth teaching style, Amber leads CBC’s popular ABA Billing Bootcamp series and consults nationally with practices seeking to strengthen their billing and compliance programs. As a parent to a young adult on the autism spectrum, Amber brings both professional expertise and personal insight to her work, making her a trusted advisor to providers and practice leaders alike.Amber has been an invited speaker for organizations including CASP, VABA, Autism New Jersey, and the Autism Law Summit. Amber is the Co-chair for the ABA RCM Conference.
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
236 research articles with practitioner takeaways
You earn CEUs from a dozen different places. Upload any certificate — from here, your employer, conferences, wherever — and always know exactly where you stand. Learning, Ethics, Supervision, all handled.
No credit card required. Cancel anytime.
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.