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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 o...

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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...

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...
