Medical Necessity Is Being Tested. Is Your Documentation Ready?

Commercial and public payors in Nevada, Nebraska, and Arizona are scrutinizing medical necessity more closely than ever — and denials are rising. The issue isn't the treatment: It's the documentation.

ABA providers that get care approved in this compliance environment and respond to audits with confidence have one thing in common: airtight medical necessity documentation.

Documentation that holds up quantifies progress, connects goals to functional outcomes, and justifies treatment intensity with specifics. What doesn't: vague language about "continued progress" or generic descriptions of behavior improvement.

Not sure if your documentation would survive review? Join Brellium and Sarah Powell, ABA Business Consultant and Founder of Blueprint ABA Consulting, for a conversation that will demystify medical necessity documentation and help providers immediately improve their documentation quality.

What You'll Learn:

• What payors are actually looking for in their reviews
• What separates documentation that survives an audit from documentation that doesn't (with real world examples)
• What your practice can do right now to stay protected
• Live Q&A with Sarah to address your team's specific documentation questions