Menu
Consultation Services for Insurance Companies - EMR Platforms
Deepening Understanding of ABA
- Service Description: Educate insurers on the fundamental science of ABA (peer reviews), current developments in ABA, the range of developmental milestone addressed with ABA, and efficacy of ABA.
- Importance: Empower funding sources, bridge gaps between providers and funding sources, clear misconceptions, and foster informed decision-making regarding policy and coverage.
BACB Certification and Standards
- Service Description: Explain the Behavior Analyst Certification Board (BACB) standards and the significance of BCBA, BCaBA, and RBT certifications. Ethical and professional obligation the BCBA must adhere to as defines by the Certification Board.
- Importance: ABA professional are required lengthy "Professional and Ethical Compliance Code for Behavior Analysts". It includes responsibilities to clients care, supervision, and professional conduct.
Clinical Tier-Based Support Structures
- Service Description: Provide education on how treatment ABA models are organized into tiered service structures. Clarify how each tier supports specific client needs and how supervision is integrated to ensure quality care across varying levels of service intensity.
- Importance: Understanding tier-based support structures helps insurance providers and developers meet the tier - based design complexities, leading outcomes for clients and more informed authorization decisions.
Integration of Telehealth in ABA
- Service Description: Guide effective Telehealth integration and address challenges in virtual settings.
- Importance: Expands access to services while maintaining quality controls. Telehealth is a very new space. Our team has participated in research, the development of Telehealth Suitability Assessments, are well verse in the deliver of Telehealth since 2015, and have worked with numerous insurance providers.
Code Utilization for Billing
- Service Description: We guide the efficient use of CPT and billing codes in ABA, helping providers, insurers, and EMR platforms apply codes correctly based on service type and tier-based models.
- Importance: Accurate code use requires understanding tiered service models, assessment types, and the role of parent involvement. Differentiating between general assessments and FBAs or FAs is critical for compliance. EMR platforms must alignment with funding models.
Data Analytics and Outcome Measurement
- Service Description: Understanding how to assess and measuring treatment effectiveness.
- Importance: The services provided must have clinical outcomes that demonstrate meaningful gains for the child/family that result in growth and independence.