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1 BACB General CEUs $30 47 min On-Demand

General CEU: Reduced Paperwork: A Benefit for BCBAs working in Value Based Care

Reduced Paperwork: A Benefit for BCBAs working in Value Based Care matters because it changes what a BCBA notices when decisions have to hold up in clinical documentation, payer communication, supervision records, and leadership review. In A Benefit for BCBAs working in Value Based Care, 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 Council of Autism Service Providers

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Course Description

Ask any BCBA to list their biggest pain points and the time spent updating treatment plans will undoubtedly be near the top of their list. As payer requirements for documentation continue to increase, so too does the time it takes to update patient treatment plans. With many payers authorizing significantly less time than it takes to complete the direct and indirect components of each re-assessment, BCBAs often end up spending significant nonbill time, completing patient treatment plans. On the payer side, it is costly to allocate the necessary resources to review each plan. Does all of this paperwork help to improve patient outcomes? What if the time spent on administrative work could be re-allocated to working with patients and their caregivers, supervising staff and providing coordination of care? Let's get off the hamster wheel! Kyo and Magellan have introduced an abbreviated treatment plan template for value-based care clients. With the new treatment plan template, clinicians spend less time writing plans and have more time available to focus on other aspects of client care. Value-based care is an enabler for this kind of innovation because of the trust inherent in the model - i.e. payers and providers jointly focus on clinical outcomes, instead of treatment inputs. In this lecture, we will discuss how a payer and a provider worked together to identify the key components of an optimized template, its impact, and how providers might begin to approach payers about the mutual benefits of an abbreviated treatment plan.

What You'll Learn

  1. Review common components of a treatment plan and consider which are essential for documentation of medically necessary ABA therapy and which may not be required.
  2. Explain how to provide quality ABA services in an ethical manner, in the absence of highly detailed payer documents, including any structural changes that might be needed to ensure that all program goals and objectives are met.
  3. Describe the impact of a truncated treatment plan on BCBA job satisfaction as measured by survey results in a case study.

CEU Credits Earned

Certification BodyCreditsType
BACB® 1 General
APA 0
COA 1

About the Instructor

SH
Sage Howard
M.Ed. BCBA

Sage is the VP of of Clinical Integrity and Compliance at Kyo. A Board Certified Behavior Analyst, Sage received her Master’s degree in Early Childhood Special Education at Hunter College in New York City. Sage has extensive experience providing behavior analytic services in the home, community and school settings. In her role at Kyo Sage works at the intersection of compliance and clinical integrity; she leads her team in staying up-to-date and in compliance with the latest federal, state, payer and company policies, all the while prioritizing patient outcomes and quality of care. Sage also oversees Kyo’s training program where she focuses on ensuring that employees receive high quality and effective training and mentorship. Sage has been instrumental in the development of the clinical policies and process for ABA Optimized, a division at Kyo that operates within a Value Based Care model.

Lecture (Multiple Presenters)Billing and ComplianceIntroductory
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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