Family Adaptive Behavior Treatment Guidance 

Using and Reporting CPT Code 97156

Original Webinar Date: September 2, 2020

CEU offered: 1.5 Learning CEU

Short Title:  Using and Reporting CPT Code 97156  

Webinar Duration: 1 hour 30 min

CE Instructors:

  • Rebecca Womack, BCBA
  • Gina Green, Ph.D., BCBA-D
  • Jenna Minton, Esq

Abstract:  

97156 - Family Guidance - Caregiver Training . . . whatever you call it, providing this service is integral to the ability of clients to generalize their treatment effects across settings and people. Yet, many organizations and providers may not be fully aware of all the different aspects of service delivery associated with this code.

Organizations providing applied behavior analysis (ABA) services must have a well-established understanding of the direct and indirect activities required of behavior analysts when they are rendering CPT code 97156. The plan development for caregivers must be derived from an assessment process based on medical necessity and designed to achieve highly individualized and socially significant outcomes. Ongoing monitoring of key performance indicators (KPIs) tied to the delivery of this service will allow for optimization of treatment utilization. Compliance monitoring related to rendering services with CPT code fidelity and audits of documentation enable organizations to provide treatment with responsibility and integrity.

This presentation will review the elements related to delivering family guidance services for caregivers, practical applications through the assessment and treatment process, and considerations for ongoing evaluation of metrics associated with these activities.

Instructor(s)

MS, BCBA, LBA Rebecca Womack

Rebecca several years of experience rendering services via telehealth as well as researched this topic when advocating on behalf of providers and military families in DC regarding the TRICARE ABA benefit.
 Rebecca has been privileged to serve adults and children using ABA in a variety of capacities. From facility-based care, to working in group homes, daycare centers, schools, and family homes, her experience includes implementing evidence-based therapy across multiple settings. As part of this, she has traveled across the United States and overseas to provide consultation for families with children and adults who have autism. Rebecca currently serves as the Director of Clinical Compliance for Blue Sprig Pediatrics, Inc. There she works collaboratively with a team of interdisciplinary professionals to create quality assurance policies and ensure that related processes are ethically and contractually aligned with health plan standards.

Esq Jenna Minton

Jenna W. Minton, Esq. is the President of Proactive Strategies (formerly Minton Healthcare Strategies). Proactive Strategies specializes in guiding clients through Medicare and Medicaid regulatory processes. Specifically, Jenna focuses on the development of CPT Codes. Jenna also assists in valuing medical services through the AMA Relative Update Committee. From 2016 through the end of March 2019, Jenna guided and contributed substantially to the efforts of the ABA coding work group, including the development of the 2019 ABA CPT code set and generation of subsequent educational materials aimed at their implementation. Jenna also serves as the Director of Operations at Residential Options, Inc. (ROI). She oversees audit, contracting, and reimbursement issues for ROI which employs almost 350 people and services around 300 clients with ASD or a developmental disabilities. Jenna is licensed to practice law in Maryland and is a member of the Maryland State Bar Association.

Ph.D., BCBA-D Gina Green

Gina is the Chief Executive Officer of APBA. She has developed and evaluated ABA interventions for people with autism and other developmental disorders, trained and supervised ABA practitioners and students, consulted to several ABA service programs, worked on many licensure and funding laws, and held leadership positions in several professional and parent-professional organizations. Dr. Green serves as APBA’s principal representative on the ABA Coding Coalition.