Insights & Resources

May 20, 2025 | Events

ABA Therapy Practice Audit and Compliance Issues and Recent Developments

ABA Therapy Practice Audit and Compliance Issues and Recent Developments

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Garfunkel Wild’s Applied Behavioral Analysis and Medical and Education Services (BAMES) Practice Group Members Steven R. Antico (Practice Group Chair), David Traskey, and Julia Belton will present “ABA Therapy Practice Audit and Compliance Issues and Recent Developments” on May 20, 2025, from 12:00 PM to 1:00 PM.

They will be discussing recent developments arising from ABA audit and investigation outcomes and regulatory initiatives.

Some of the webinar’s topics that will be covered by our BAMES team members will include:

  • Audits and Investigations – Outcomes and Related Issues:
    • The Audit Process – Controlling the Message and Limiting the Noise;
    • Knowing That Your Records Past Muster and are Complete;
    • Common Billing Errors and Cues to Avoid Them;
    • Are You Providing ABA Services in a School, a Home or in a Clinic – What Precautions do you Need to Take?;
    • Incorrect Time Reporting – Are You Billing for Breaks?;
    • Overlapping Service Codes;
    • Denied Claims: Common Reasons and How to Appeal;
    • Place of Service Discrepancies – CPT Code 97151 – When Non-Face-to-Face Services Can Create Confusion; and
    • The Importance of Complying with Performance Improvement Plans.
  • Recent Developments:
    • Day Care Center Regulations – Do They Apply in a Clinic-Based Setting?; and
    • New Jersey LBA Licensure.
  • Why a Compliance Plan is a Best Business Practice and a Critical Element of a Successful ABA Agency:
    • A Compliance Plan Demonstrates a Commitment to Compliance with Legal and Ethical Standards;
    • A Code of Conduct is a Foundational Element that sets forth an Agency’s inherent responsibilities to its providers and clients, and to health plans and government programs; and
    • The Elements of a Proper Compliance Program Describes the Agency’s Compliance Initiatives on a Day-to-Day and Strategic Basis.