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ComplianceApril 1, 202610 min read

The Complete Guide to 97155 Documentation for BCBAs

97155 notes score nearly 8 points lower than 97153 documents in pre-billing audits. This guide breaks down the six most common documentation errors contributing to that performance gap, with real audit data and insights from a compliance expert.

By Zach Rosen, Co-Founder & CEO, Brellium

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Brellium has performed more than 800,000 97155 pre-billing audits. One pattern keeps emerging: BCBAs are doing strong clinical work, but their documentation isn't always correctly capturing it.

The result is session notes that are at risk of failing payer reviews. This guide breaks down the six most common 97155 documentation errors we see, from missing protocol modifications to notes that read like passive supervision, paired concrete strategies to fix them.

The guide also offers an inside look into Brellium's audit engine data. We'll share what our proprietary data reveal about BCBAs' most frequent documentation errors.

Whether you're a BCBA looking to strengthen your own notes or a compliance lead trying to reduce organizational risk, you'll walk away from this guide with a better understanding of unique compliance pain points impacting 97155 notes — and know how to fix them.

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Zach Rosen
About the author
Zach Rosen
Co-Founder & CEO, Brellium

CEO and Co-Founder of Brellium.

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