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Please read the scenario below and respond whether the BCBA is acting responsibl
Please read the scenario below and respond whether the BCBA is acting responsibly or engaging in insurance fraud.
Katina, a BCBA is working with a client who is 3 years old through an ABA agency. Her client’s insurance company has authorized the following hours:
20 hours per week of direct therapy
8 hours per month of supervision from a BCBA
6 hours per month of parent training
Katina has just had 2 new RBTs join the team and they need quite a bit of training to be ready to work independently. After using up the 8 hours insurance has allotted for supervision Katina starts billing the time she is training RBTs under the codes for parent training since insurance has authorized those hours, but the parents both work and aren’t available to do parent training.
Is Katina acting responsibly? Is she violating any insurance laws?
https://webaba.com/aba-therapy-cpt-codes/
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