Course List 6

PRICE: $20  


This webinar will provide information about common funding sources accessible to families seeking behavior-related services and how providers can find information on funder requirements. This information is derived from several years’ experience in working for a local intellectual and developmental disability authority (LIDDA) for the state of Texas as an applied behavior analysis (ABA) provider. Attendees will learn about funding sources that cover behavior-related services in the state of Texas, the limitations associated with families’ accessing them, and how to seek out funding sources in other states. Attendees will receive guidance on how to uphold funders’ requirements for accessing and keeping services. Content will be aligned with the Behavior Analyst Certification Board (BACB) Practice Guidelines, and ethical requirements to support optimal outcomes for service recipients.

Objectives

  • An understanding of common barriers and limitations that families face in regard to insurance and state-provided funds
  • Application of BACB Compliance Codes (hereafter referred to as the Code) that apply to accepting clients and following through on obligations and contractual commitments base on funder requirements
  • Education on how compensation, billing arrangements, and changes that may occur for various funders relate to the Code
  • Discussion of the Code’s standards that apply to documentation and other policies set by third-party payers
  • Guidance for where providers can find funder requirements that include scope of service, client qualifications, provider credentials, and compensation/billing arrangements
  • A breakdown of terms used by insurance and state-provided funders
  • The common types of insurance and state-provided funds that cover behavior-related services
  • Types of state funding that cover behavior-related services for the state of Texas
  • Resources for guiding families to funding sources that cover behavior-related services
  • 1 Type II BACB® CEUs that count towards ethics requirement

ABOUT THE PRESENTER - Rachel Massey

Rachel is currently working as a program manager and Board Certified Behavior Analyst (BCBA) for the Treatment and Learning Center (TLC) in Tyler, TX. TLC is a division of the Andrews Center- the LIDDA for the East Texas area that provides clinic-based ABA services via their three programs: “Comprehensive,” “Focus,” and “Outreach”. TLC provides individualized services for various state-funders and insurance companies. She is a licensed behavior analyst for the state of Texas and a member of the Association of Behavior Analysis International (ABAI) chapter affiliate, TxABA. She holds a Bachelor’s degree from University of Texas at Tyler in psychology and received her Master’s in Education: Curriculum and Instruction (Applied Behavior Analysis) in May 2016 from Arizona State University

She has previously worked as program coordinator for an in-home ABA provider, where she gained knowledge of providing services across many different environments, including school, community areas, and vocational settings. She has developed and implemented trainings for parents, school staff, and other professionals within her community. She has experience in consultation, supervision, and directly working with individuals with Autism Spectrum Disorder aged 2-24 years old with broad severity levels and maladaptive behaviors.


QUESTIONS?

If you have questions about this course, please email Rebecca Womack: rebecca@advocateaba.org

PRICE: $50  


The release of the results from the Inspector General's audit of TRICARE funding reflects the need for provider education on meeting funding source documentation requirements. This webinar will provide information shared by the Defense Health Agency during their workshop at the Association of Professional Behavior Analysts 2018 conference. Attendees will learn how to apply TRICARE Operation Manual requirements to their session note documentation. They will also receive guidance on how to oversee cases according to our field's standards of care and ethical requirements. Funding source requirements often do not specify that providers submit clinically sound documentation. Attendees will be equipped to meeting funding requirements in a clinically sound and ethical manner during this presentation.

BENEFITS FOR PARTICIPANTS

All participants will receive:

  • 2 Type II BACB® CEUs that count towards ethics requirement

  • Documentation requirements for TRICARE Autism Care Demonstration providers as described in the current TRICARE Operations Manual and a workshop at the Association of Professional Behavior Analysts convention

  • Examples and discussion about how to implement the TRICARE session note requirements.

  • Behavior Analyst Certification Board (BACB) Compliance Code standards that apply to documentation and other policies set by third-party payers

  • Suggested strategies for integrating TRICARE documentation requirements with BACB Compliance Code and other standards of care in applied behavior analysis

COURSE OBJECTIVES

ABOUT THE PRESENTERS

Gina Green – received a PhD in Psychology (Analysis of Behavior) from Utah State University in 1986 following undergraduate and master’s degree studies at Michigan State University. She has been a faculty member in Behavior Analysis and Therapy at Southern Illinois University; Director of Research at the New England Center for Children in Southborough, Massachusetts; Associate Scientist at the E.K. Shriver Center for Mental Retardation in Waltham, Massachusetts; Research Associate Professor of Psychiatry and Pediatrics, University of Massachusetts Medical School; a Lecturer in Public Health and Special Education at San Diego State University; and a consultant in private practice. Currently Dr. Green is the Chief Executive Officer of the Association of Professional Behavior Analysts. She has authored numerous publications on the treatment of individuals with developmental disabilities and brain injuries, as well as the experimental analysis of behavior. Dr. Green co-edited the books Behavioral Intervention for Young Children with Autism and Making a Difference: Behavioral Intervention for Autism. She serves or has served on the editorial boards of several professional journals in developmental disabilities and behavior analysis. Dr. Green also serves on the Autism Advisory Group of the Cambridge Center for Behavioral Studies and the advisory boards of several autism programs and organizations. She is a Board Certified Behavior Analyst-Doctoral, former president of the Association for Behavior Analysis and the California Association for Behavior Analysis, a former member of the Board of Directors of the Behavior Analyst Certification Board, a founding Director of the Association of Professional Behavior Analysts, and a Fellow of the American Psychological Association, the Council for Scientific Medicine and Mental Health, and the Association for Behavior Analysis. Other recognitions and awards include Psychology Today’s “Mental Health Professional of the Year” (2000); honorary Doctor of Science degree from The Queen’s University of Belfast, Northern Ireland (2005); California Association for Behavior Analysis Award for Outstanding Contributions to Behavior Analysis (2013); New York State Association for Behavior Analysis John W. Jacobson Award for Contributions to Behavior Analysis (2013); Berkshire Association for Behavior Analysis & Therapy Sidman Award for Enduring Contributions to Applied Behavior Analysis (2014); Friend of the Kendall Centers, Modesto, CA (2014); Autism Speaks Provider of the Year (2014); Behavior Analyst Certification Board Michael Hemingway Award (2017); and American Psychological Association Division 25 Don Hake Translational Research Award (2017). Dr. Green lectures and consults widely on autism and related disorders, behavioral research, effective interventions for people with disabilities, and public policies affecting the practice of applied behavior analysis.

Rebecca Womack – Since graduating from my master’s program at North Dakota State University, she has been privileged to serve adults and children in the field of applied behavior analysis (ABA) in a variety of capacities. From facility-based care, to working group homes, day centers, schools, and homes of families, her experience includes implementing evidence-based therapy across multiple settings. She has traveled across the United States and overseas to provide consultation for families with children who have autism. Additional experiences include administrative work, presentations, staff and parent training, and supervision. As the appointed director for the Behavior Analysis Advocacy Network (BAAN), she works closely with policy makers to preserve services and the continuity of care for military children with autism. Her current duties involve serving as the Director of Clinical Services for Autism Response Team Texas. The clinic provides in home and center-based ABA therapy for adults and children. They enjoy partnering with community groups to support parents and families who have children with disabilities. Whatever the role, her ultimate goal is to always make a significant impact through effective and efficient services utilizing the science of ABA.


QUESTIONS?

If you have questions about this course, please email Rebecca Womack: rebecca@advocateaba.org

PRICE: $40  


The Behavior Analysis Advocacy Network (BAAN) advocacy efforts have been focused on promoting access to care for military parents and TRICARE providers during the past several years. While gains have been made for some individual providers, more progress must be made. BAAN will share methodologies employed to equip attendees with the tools necessary to access solutions for common challenges. They will also receive ethical guidance on what to do when they are unable to make their desired progress. Options for providers and families to self-advocate are not always clearly laid out. Attendees will receive strategies for handling conflict resolution that emphasize both professional conduct and optimal outcomes. Recommendations will be aligned with the Behavior Analyst Certification Board (BACB) Compliance Code standards and effective communication processes.

All participants will receive:

  • 2 Type II BACB® CEUs that count towards ethics requirement
  • Behavior Analyst Certification Board (BACB) Compliance Code standards that apply to conflict resolution and funding source engagement
  • A review of current challenges being faced by those participating in the Autism Care Demonstration (ACD) program
  • Recommended approaches for dealing with funding source challenges that align with the BACB Compliance Code
  • Examples and discussion about how to implement the recommendations

 

ABOUT THE PRESENTER - Rebecca Womack

Since graduating from her master’s program at North Dakota State University, Rebecca has been privileged to serve adults and children using applied behavior analysis (ABA) in a variety of capacities. From facility-based care, to working group homes, day centers, schools, and homes of families, her experience includes implementing evidence-based therapy across multiple settings. She has traveled across the United States and overseas to provide consultation for families with children who have autism. Additional experiences include administrative work, presentations, oversight of center and home-based services, staff and parent training, and supervision. As the Executive Director for the Behavior Analysis Advocacy Network (BAAN), she works closely with policy makes to preserve services and the continuity of care for children with autism. In addition to facilitating provider and family concerns, she also disseminates information on clinical and ethical practices relating to funding source requirements. Whatever the role, her ultimate goal is to always make a significant impact through effective and efficient services utilizing the science of behavior analysis.


QUESTIONS?

If you have questions about this course, please email Rebecca Womack: rebecca@advocateaba.org

PRICE: $45  


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 Schmidtz, 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.

All participants will receive:

  • 2 Type II BACB® CEUs (1 of which is a Type II BACB® CEUs that counts towards ethics requirement)
  • 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

ABOUT THE PRESENTERS -

Sarah Schmidtz

Sarah Schmitz, CMRS-I, CPB, CPC, discovered her love for medical billing and coding over 15 years ago. She completed training at the top of her class and received Magna Cum Laude from the American Academy of Professional Coders. After her son was diagnosed with autism, she had to stop working full time to put all her energy into learning the most she could about the available therapies for autism. When a provider said they would no longer be taking her insurance, Sarah recognized the need for an advocate for ABA providers who had much heart and education but a gap in knowledge of the ins and outs of medical insurance. Putting her passion for billing and coding into practice, she founded Comprehensive Billing Consultants, a nationally recognized autism services billing, consulting, and credentialing company. Sarah has also created an ABA Billing Bootcamp and multiple onsite consulting opportunities for providers who are trying to ensure that they have the strongest team possible. Because Sarah and many members of her team have family members on the autism spectrum, the culture of Comprehensive Billing Consultants is providing the best support and service to ABA providers, knowing that THEY are providing the opportunity for children to grow and evolve in such a beautiful way. Sarah is coauthor of Revenue Cycle Management for ABA Therapy.

Rebecca Womack

Since graduating from her master’s program at North Dakota State University, Rebecca has been privileged to serve adults and children using applied behavior analysis (ABA) in a variety of capacities. From facility-based care, to working group homes, day centers, schools, and homes of families, her experience includes implementing evidence-based therapy across multiple settings. She has traveled across the United States and overseas to provide consultation for families with children who have autism. Additional experiences include administrative work, presentations, oversight of center and home-based services, staff and parent training, and supervision. As the Executive Director for the Behavior Analysis Advocacy Network (BAAN), she works closely with policy makes to preserve services and the continuity of care for children with autism. In addition to facilitating provider and family concerns, she also disseminates information on clinical and ethical practices relating to funding source requirements. Whatever the role, her ultimate goal is to always make a significant impact through effective and efficient services utilizing the science of behavior analysis.


QUESTIONS?

If you have questions about this course, please email Rebecca Womack: rebecca@advocateaba.org

PRICE: $40  


The Defense Health Agency, providing oversight of the TRICARE military benefit, released information on changes to the Autism Care Demonstration program. The modifications will require providers to make significant adjustments across the landscape of service delivery with clinical integrity. The Behavior Analysis Advocacy Network (BAAN) will share ways to ethically address concerns with funding sources, and effective processes to support this transition. Guidance will be given on methods for implementing practices associated with Category I CPT codes pertaining to applied behavior analysis (ABA) therapy. Recommendations will be aligned with the Behavior Analyst Certification Board (BACB) Compliance Code standards. Attendees will be equipped ways to address concerns with this funding source, strategies for aligning business practices with the new requirements and suggestions for maintaining the necessary supervision associated with the Registered Behavior Technician (RBT) certification.

All participants will receive:

  • 2 Type II BACB® CEUs that count towards ethics requirement
  • A review of challenges being posed by the implementation of policy changes
  • Ethical guidance for conflict resolution with funding sources
  • Attendees will learn ways to apply TRICARE Operation Manual requirements to their session content and subsequent documentation
  • Examples and discussion about how to implement the recommendations

ABOUT THE PRESENTERS -

Michele Silcox

Michele Silcox, with her 25+-year Accounting career, quickly learned that the basic principles of Accounting apply across all industries. She developed a keen sense of controls and successfully managed teams of accounting staff in exceeding goals for all levels of back office functions. With her experience and desire to help others, she is a seasoned, natural leader and trainer for employees, executives, and colleagues. For the last nine+ years, Michele has focused her career in ABA administrative services, founding ABA Therapy Billing and Insurance Services, a nationally recognized Autism Services billing, consulting, and credentialing company. Her software background puts her in a position to help providers maximize the use of the PMS software they have chosen. Michele is furthering these efforts by gaining her Certified Medical Professional Auditor certification which will allow her to provide even more in-depth risk assessments for providers to support compliance and profitability of their practice. With tighter regulations on healthcare services, providers need to know when they are at risk for non-compliance and remain out of harm's way of fraudulent activity. Helping providers find that peace of mind is her goal.

 

Rebecca Womack

Since graduating from her master’s program at North Dakota State University, Rebecca has been privileged to serve adults and children using applied behavior analysis (ABA) in a variety of capacities. From facility-based care, to working group homes, day centers, schools, and homes of families, her experience includes implementing evidence-based therapy across multiple settings. She has traveled across the United States and overseas to provide consultation for families with children who have autism. Additional experiences include administrative work, presentations, oversight of center and home-based services, staff and parent training, and supervision. As the Executive Director for the Behavior Analysis Advocacy Network (BAAN), she works closely with policy makes to preserve services and the continuity of care for children with autism. In addition to facilitating provider and family concerns, she also disseminates information on clinical and ethical practices relating to funding source requirements. Whatever the role, her ultimate goal is to always make a significant impact through effective and efficient services utilizing the science of behavior analysis.


QUESTIONS?

If you have questions about this course, please email Rebecca Womack: rebecca@advocateaba.org

PRICE: $200  


Board Certified Behavior Analysts (BCBA®s) are trained in the implementation of procedures that are conceptually systematic and evidence based. Treatment plans containing interventions derived from published research but fail to establish medical necessity will not be funded. This online seminar covers an essential component for creating work products reviewed by insurances: treatment plans based upon medical necessity. Presenters will review strategies for evaluating diagnostic reports and integrating the content throughout the treatment plan. This seminar will also teach providers how to use assessment probes to provide sufficient justification for areas targeted for intervention, and review the professional and ethical compliance code (PECC) as it applies to the medical necessity review process.

BENEFITS FOR PARTICIPANTS

All participants will receive:

  • 4 Type II BACB® CEUs that count towards ethics requirement

  • A template for writing treatment plans based on medical necessity

  • Opportunity to request access to a WikiPage with more resources related to insurance and medical necessity

COURSE OBJECTIVES

  • Define Medical Necessity
  • Create goals and objectives directly related to symptoms and impairments related to an autism diagnosis
  • Describe the necessary components of a comprehensive treatment plan, to include background, progress, transition, discharge, and recommendations
  • Discuss factors to consider when determining the intensity of ABA services
  • Review the PECC as it applies to the medical necessity review process

ABOUT THE PRESENTER

Tim Courtney earned a Masters of Science in applied behavior analysis from Florida Institute of Technology (FIT) in 2006 and became a board certified behavior analyst that same year. He has worked as a behavior analyst since 2003 with different organizations across the United States. Tim has presented on writing treatment plans based on medical necessity at numerous conferences including ABAI, APBA, and FABA.

In addition to his work as a behavior analyst, Tim has been a co-instructor in the ABA department of FIT since 2007. His research interests include functional assessment, medical and dental avoidance and escape behavior, verbal behavior and dissemination of the science of Applied Behavior Analysis. Tim is currently working on his Ph.D. in special education at Purdue University.


QUESTIONS?

If you have questions about this course, please email Rebecca Womack: rebecca@advocateaba.org

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