About This Course

What Information We Will Cover

As many healthcare providers accept insurance coverage for ABA therapy, which is typically funded by most insurance companies, there is a growing need for objective documentation that reflects client progress towards treatment goals and identifies barriers to client outcomes. Additionally, session notes help substantiate billing claims, provide a rationale for the need for ongoing services, are included as part of the client’s medical record, and are required by funders to remain in compliance with regulations. However, despite the need for staff training in this area, there have been few studies published in the behavior analytic literature that have evaluated how to write session notes effectively. This course outlines a behavioral skills training (BST) model for training staff on how to write medically necessary session notes and provides a framework for quality assurance measures, to ensure staff document relevant information. Direct training, checklists, templates, rubrics, and evaluation measures are presented, outlining a systematic approach to generating more accurate and objective session notes.

Course Objectives

What Participants Will Learn During This Course

  • Identify medical necessity and understand its importance to ABA session notes

  • Determine the essential clinical and non-clinical components of session notes

  • Develop a quality assurance (QA) system for delivering feedback and monitoring session note quality

Course curriculum

  1. 1
    • Course Syllabus

    • About Your Instructor

    • Course Overview

  2. 2
    • Lesson 1: What is Medical Necessity?

    • Medical Necessity Supplemental Resources

    • Lesson 2: Writing ABA Session Notes

    • Essential Components of Session Notes

    • Lesson 3: Staff Training for Writing Notes

    • Lesson 4: Quality Assurance Measures

    • Lesson 5: Putting it Together

    • Writing ABA Session Note Resources

    • Writing Sessions Notes 3.5 Hour Class (97151, 97153, 97155, and 97156 codes)

  3. 3
    • Course Completion Quiz

    • Course Survey

    • Access Certificate

    • Review the Course