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The Behavioral View 5.8: Peer Review 101 with Olivia Teal

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Manage episode 502795696 series 2921302
Content provided by CentralReach. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by CentralReach or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

This episode provides behavior analysts with practical guidance on navigating insurance authorization processes, with particular focus on peer review procedures. The panel discusses the workflow from initial clinical review through potential peer review, emphasizing that peer review is a collaborative process rather than punitive action. Key topics include understanding medical necessity requirements, writing effective treatment plans, preparing for peer review conversations, and managing different outcomes. The discussion addresses common challenges faced by both new and experienced BCBAs, including dosage recommendations, goal writing, parent involvement requirements, and handling denials. This content directly supports behavior analysts in improving their clinical documentation and communication skills to ensure continued access to services for their clients.

To earn CEUs for listening, click here, log in or sign up, pay the CEU fee, + take the attendance verification to generate your certificate! Don’t forget to subscribe and follow and leave us a rating and review.

Show Notes

References:

Reinecke, D. R., & Colleagues. (2024). Treatment planning recommendations for applied behavior analysis services. Association for Professional Behavior Analysts.

Resources:

Professional Organizations and Guidelines:

Training and Educational Resources:

Assessment Tools:

  continue reading

58 episodes

Artwork
iconShare
 
Manage episode 502795696 series 2921302
Content provided by CentralReach. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by CentralReach or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

This episode provides behavior analysts with practical guidance on navigating insurance authorization processes, with particular focus on peer review procedures. The panel discusses the workflow from initial clinical review through potential peer review, emphasizing that peer review is a collaborative process rather than punitive action. Key topics include understanding medical necessity requirements, writing effective treatment plans, preparing for peer review conversations, and managing different outcomes. The discussion addresses common challenges faced by both new and experienced BCBAs, including dosage recommendations, goal writing, parent involvement requirements, and handling denials. This content directly supports behavior analysts in improving their clinical documentation and communication skills to ensure continued access to services for their clients.

To earn CEUs for listening, click here, log in or sign up, pay the CEU fee, + take the attendance verification to generate your certificate! Don’t forget to subscribe and follow and leave us a rating and review.

Show Notes

References:

Reinecke, D. R., & Colleagues. (2024). Treatment planning recommendations for applied behavior analysis services. Association for Professional Behavior Analysts.

Resources:

Professional Organizations and Guidelines:

Training and Educational Resources:

Assessment Tools:

  continue reading

58 episodes

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