Header Logo
About Us Our Services Our Newsletter Get in Touch
← Back to all posts

QA is not Compliance: Why Quality Alone Won't Protect You in an Audit

by Rose Feddock
Jul 10, 2025

 

 

Many ABA organizations are doing good clinical work. They have a quality assurance (QA) program. They provide ongoing supervision. They monitor fidelity. On the surface, it may seem like these systems are enough to keep the organization compliant.

But here’s the challenge: Quality assurance and healthcare compliance are not the same thing.

And in today’s payer environment, especially for organizations billing Medicaid or any commercial payer, that distinction matters more than ever. Mistaking one for the other can leave your organization exposed.

Subscribe to keep reading this post

Subscribe

Already have an account? Log in

Loading...
Rethinking External Compliance Audits in ABA Agencies
    What If an Audit Could Actually Make Your Life Easier? Let’s be honest: the word “audit” doesn’t usually inspire excitement. For many ABA leaders, an audit feels like an inevitable stressor, a high-stakes test that appears on your doorstep with little warning and potentially hefty consequences. It brings to mind long nights scrambling for documentation, clarifying policies, and coaching te...
97155 Solo Sessions: How to Document Clinical Judgment That Stands Up to Scrutiny
When billing for CPT code 97155, the importance of accurate and defensible documentation cannot be overstated. While many providers are familiar with using 97155 during sessions involving technician direction, a growing number of payers (and auditing entities) are scrutinizing how it is used when no technician is present. In this article, we explore the compliance-critical features of document...
HIPAA’s Minimum Necessary Standard: What ABA Agencies Need to Know
When it comes to client privacy, HIPAA’s “Minimum Necessary” standard is one of the most important—and most misunderstood—rules ABA agencies must follow. Whether you're a clinical supervisor, a billing coordinator, or the person managing scheduling, understanding and applying this principle correctly is essential. Let’s break down what the minimum necessary rule really means, why it matters fo...

ABA Compliance Chronicle

ABA Compliance Chronicle keeps ABA companies informed and prepared when it comes to compliance and quality assurance. Get expert insights, practical tips, and regulatory updates to confidently navigate requirements. Stay ahead with best practices and industry news, so you can focus on delivering exceptional services while staying compliant.
© 2025 ABA Compliance Solutions. All Rights Reserved.
About Us Our Services Our Newsletter Get in Touch