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| CPT Billing Codes: An Update From the ABA Billing Codes Commission |
| Sunday, May 24, 2020 |
| 10:00 AM–10:50 AM |
| Walter E. Washington Convention Center, Level 1, Salon C |
| Instruction Level: Intermediate |
| Chair: Katherine Mahaffy (Association for Behavior Analysis International) |
| CE Instructor: Julie Kornack, Ph.D. |
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CPT Billing Codes: An Update From the ABA Billing Codes Commission |
| Abstract: In the 18 months since the 2019 CPT I billing codes for adaptive behavior took effect, members of the ABA Billing Codes Commission have worked to disseminate information, resolve problems, address concerns, and identify next steps. This presentation builds on the information presented in the workshop ABA Billing Codes Commission Presents: Is That Billable? Understanding How to Bill Ethically and Effectively. This presentation will provide an update on the work of the ABA Billing Codes Commission and will address recurrent questions, including the effort to increase uniformity in how the codes are interpreted; the proper use of Medically Unlikely Edits; the process to value codes; and the next steps in the Commission’s effort to bridge the gap between billable services and ABA that reflects best practices. |
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| JULIE KORNACK (Center for Autism and Related Disorders) |
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| Target Audience: Behavior analysts |
| Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) discuss the purpose of CPT billing code descriptors; (2) discuss the appropriate use of Medically Unlikely Edits (MUEs); (3) state the difference between codes that are valued and codes that are carrier priced; (4) discuss the role of multi-disciplinary collaboration in the billing codes process. |
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