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0 BACB General CEUs $0 23 min On-Demand

General CEU: Raven Health Presents: [ABA Startup Success 101] The Do's & Don'ts of Credentialing

[ABA Startup Success 101] The Do's & Don'ts of Credentialing matters because it changes what a BCBA notices when decisions have to hold up in clinical documentation, payer communication, supervision records, and leadership review. 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 Raven Health

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Course Description

In a Raven Health webinar, Tim Crilly interviewed Matt Zabolotny, founder and managing principal at exydoc, to discuss effective strategies for contracting and credentialing in ABA practices. Matt shared essential tips, emphasizing the importance of targeting major insurers and becoming in-network to maximize revenue. He highlighted the need for persistence in the credentialing process and warned against common mistakes, such as failing to track client financial responsibilities. For new practice owners, securing a strong financial foundation through proper credentialing is crucial.

What You'll Learn

  1. Master Credentialing Strategies: Understand the importance of identifying and targeting major insurers in your state, focusing on becoming in-network with key payers to maximize revenue and streamline your billing processes.
  2. Describe the Importance of Persistence in Credentialing: Recognize that credentialing timelines can vary and that consistent follow-up is essential for successfully joining networks and securing contracts with insurers.
  3. Avoid Common Credentialing Mistakes: Learn to set up systems for tracking client financial responsibilities, such as co-pays and deductibles, to prevent revenue loss and maintain the financial health of your practice.

CEU Credits Earned

Certification BodyCreditsType
BACB® 0
COA 0.23

About the Instructor

TC
Tim Crilly
BCBA

Tim has worked in the ABA field for 20 years and became a BCBA in 2011. Tim has worked for two national ABA companies in many capacities from both a clinical and operations perspective. Tim served as the Director of Clinical Autism Services for Magellan Health, where he oversaw a team of care managers responsible for reviewing and authorizing ABA therapy. In this role, Tim was involved in policy development, network development, and external partnerships. Tim currently works as the SVP of Strategic Partnerships at Raven Health. Tim brings his unique experience of having worked on both sides of the industry to this session.

#bcbaABAAutism#AutismSupport#ABATrends#ABAChallenges#CREDENTIALING
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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