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0.5 BACB General CEUs $20 1 hr 12 min On-Demand

General CEU: Insurance Strategies That Work: Mitigating Risk and Maximizing Returns (AAPC Index # 2507CBC0726251056A)

Insurance Strategies That Work: Mitigating Risk and Maximizing Returns (AAPC Index # 2507CBC0726251056A) matters because it changes what a BCBA notices when decisions have to hold up in clinic sessions and day-to-day service delivery. In Insurance Strategies That Work: Mitigating Risk and Maximizing Returns (AAPC Index # 2507CBC0726251056A), 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 Comprehensive Billing Consultants (Conference)

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Course Description

Navigating the complexities of insurance can be one of the biggest operational challenges for ABA billing companies. This session offers a practical, behind-the-scenes look at how to work more effectively with insurance payers – direct from the perspective of two payer leaders. Participants will gain actionable strategies for reimbursement discussions, preparing staff for successful peer-to-peer reviews, and conducting comprehensive benefit checks that reduce the risk of claim denials. The presentation will also cover common causes of recoupments and how to implement proactive billing and documentation practices to safeguard revenue. Whether you're new to payer relations or looking to strengthen your team's approach, this session will provide the tools and insights you need to improve outcomes and reduce administrative friction.

What You'll Learn

  1. Describe to apply key strategies for engaging in conversations related to improved reimbursement rates with insurance payers, including how to present data effectively and communicate organizational value.
  2. Describe to effectively prepare clinical and billing staff for successful peer-to-peer reviews via targeted training in communication strategies and documentation best practices.
  3. Describe to recognize common causes of recoupments and implement proactive billing and documentation practices to reduce financial risk.

CEU Credits Earned

Certification BodyCreditsType
BACB® 0.5 General
AAPC 1
AMBA 1

About the Instructor

KW
Katherine Wooten
LCSW, BCBA, CCM

Katherine Wooten is an executive-level consultant with over 20 years of experience in clinical services and managed care leadership. She partners with ABA and behavioral health organizations to develop innovative strategies that enhance client outcomes, optimize operations, resolve payer relationship challenges and maximize revenue. With deep expertise in the managed care landscape, Katherine combines strategic insight with practical, results-driven solutions to help organizations achieve meaningful, measurable impact.

Workshop
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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