Due Diligence: Provider Documentation Essentials for Being Audit-Ready
Original Webinar Date: March 2019
CEU offered: 2.0 Learning CEU (including 1.0 Ethics CEU)
Short Title: Due Diligence: Provider Documentation Essentials
Webinar Duration: 2 hours
- Rebecca Womack, BCBA
- Sarah Schmitz, CMRS-I, CPB, CPC
This recorded webinar was originally presented by the Behavior Analysis Advocacy Network (BAAN). Upon BAAN's dissolution in June 2020, its CEU course library was transferred to CASP.
The new Category I Current Procedural Terminology (CPT) codes introduced in January of 2019 require providers to make significant changes when rendering billable applied behavior analysis (ABA) therapy services. The TRICARE military benefit allows for some of these new codes to be billed in their Autism Care Demonstration program. Providers must bring their rendering of services and documentation processes into alignment with the new Category I CPT code content.
Distinct changes in the landscape of ABA services both in practice and in notation must occur to ensure the fidelity of code implementation. Not only does this enable providers to meet their contractual obligations, but also allows them to be prepared for audits. Sarah Schmitz, President of Comprehensive Billing Consultants, and Rebecca Womack, Executive Director of the Behavior Analysis Advocacy Network (BAAN) will discuss ways to deliver and document services reflected in the Category I CPT codes. Providers will be educated about general auditing processes and how to be audit-ready. All clinical recommendations will be aligned with the Behavior Analyst Certification Board (BACB) Professional and Ethical Compliance Code standards.
Participants will receive:
- Education about the Category I CPT codes approved for rendering in the ACD program
- Strategies for rendering and documenting services associated with these codes
- Information about general auditing processes
- Recommendations on how to be audit-ready