Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.


46th Annual Convention; Washington DC; 2020

Event Details

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Panel #575
CE Offered: BACB — 
Cover Your Bases: A Compliance Framework to Help ABA Providers Ethically Navigate the Requirements of the Healthcare System
Monday, May 25, 2020
4:00 PM–4:50 PM
Walter E. Washington Convention Center, Level 2, Room 202A
Area: AUT/OBM; Domain: Service Delivery
CE Instructor: Kristine Rodriguez, M.A.
Chair: Kristine Rodriguez (Autism Learning Partners)
DAN MATAS (Autism Learning Partners)
JENNIFER J JOHNSTON (Easter Seals of Southern California)
TYRA PAIGE SELLERS (Behavior Analyst Certification Board)

Compliance programs were formally introduced into the healthcare space only 30 years ago. Historically, the focus of these programs has been mainly on hospitals, insurance providers, and nursing facilities; however, attention is rapidly turning to Applied Behavioral Analysis providers. As the incidence rate of Autism Spectrum Disorder rises, the cost of treatment by insurance companies, state programs, and federal funding sources increases exponentially. The government has several programs in place to monitor fraud, waste, and abuse, and maintains acute interest in those who are misusing funds. Applied Behavioral Analysis providers have recently come under scrutiny in matters of fraud, waste, and abuse; these allegations bring stigma for the industry and necessitate a call to action. Further, as funders become increasingly concerned with assessing value against costs, providers will need to develop increasingly robust systems in order to ensure proper documentation and outcomes-driven processes, in order to avoid devastating payment recoveries. This panel presents a full range perspective, bringing together both providers and funders to discuss healthcare compliance from multiple vantages, in order to provide participants with a path forward to ensuring quality care and upholding ethical standards.

Instruction Level: Basic
Target Audience:

The target audience are providers, funders, and industries associated with the delivery of Applied Behavioral Analysis treatment.

Learning Objectives: 1) Participants will gain general knowledge of what Fraud, Waste and Abuse looks like in the Applied Behavioral Analysis industry 2) Participants will define 5 steps that attendees can use to initiate/improve upon a compliance program designed to protect clients, drive quality outcomes, and meet funder regulations 3) Participants will identify relevant items of the Professional and Ethical Compliance Code for Behavior Analysts, as it pertains to personal responsibility for delivering care that is effective, efficient, and well-documented
Keyword(s): Ethics, Healthcare Compliance



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Modifed by Eddie Soh