In-network audits are a standard feature of behavioral health contracting, and for ABA providers, they carry higher stakes than in many other healthcare disciplines. The data-intensive nature of ABA — with multiple daily session notes, authorization tracking, and individualized treatment plans — creates both greater documentation complexity and greater audit exposure.
Provider: BehaviorLive — via Jade Health
Take This Course →Including ethics, supervision, and topics like this one. New live CEU every Wednesday.
Join Free →Health plans have the duty to conduct periodic provider audits and monitor the appropriateness of claims, licensing, and credentialing of providers, and to ensure proper documentation of services as a means of investigating fraud, waste, and abuse. Behavior Health Treatment (BHT) providers are subject to these regulatory audits and corrective actions based on audit findings. Having the right systems in place can strongly influence your audit findings and outcomes. This webinar takes a deeper look into the process of responding to in-network audits and includes practical tips to help navigate BHT provider audits. Key topic areas include: various types of BHT audits conducted by health plans and what to expect from each, documentation that is reviewed by health plans and line items that are subject to review, practices and systems to proactively put in place that will promote regulatory compliance, consequences, and corrective action that occurs upon failing an audit. This workshop is designed to help BHT providers prepare for in-network audits by setting up practices and systems that promote regulatory compliance.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 0 | — |
| COA | 2 | — |
| QABA | 0 | — |
| IBAO | 0 | — |
| BICC | 0 | — |
BARBARA ENDLICH, PSYD, BCBA-D, LBA Dr. Barbara Endlich is a BCBA-D and licensed psychologist specializing in the treatment of children with autism. She is the co-founder and Chief Clinical Officer of Behavior And Education (BAE). The BAE team has been servicing schools and families since 2008 and currently provides ABA therapy across Southern California and Nevada. Barbara started out as a Behavior Therapist in 1999, igniting her lifelong passion for ABA. She found it fulfilling to work so closely with families and to bring about meaningful change through the science of ABA. Like many behavior analysts before her, Barbara saw ABA as a way to better the world, and she was hooked. She centered her education around this discipline, earning a BA degree in Psychology at Cal State Long Beach, an MS degree in Counseling and Applied Behavior Analysis at Cal State Los Angeles, and a PsyD degree in Psychology from Cal Southern University. Today more than ever, Barbara is driven by high quality, ethical, and compassionate care for all. She believes that this begins with an investment in continuous improvement and a willingness to bring humility and humanity into our practice. It is an honor for Barbara to serve on the board of CalABA's Special Interest Group, Business in Behavior Analysis (BIBA), in a shared mission towards promoting ethical business practices in ABA. Barbara leads through collaborative, value-based, and person-first practices in business, client care, and in support of care providers.
Side-by-side comparison with a clinical decision framework
Research-backed educational guide for behavior analysts
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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.