2019 CPT Codes for ABA Billing: FAQs and Resources for Success

Get ready for the 2019 CPT® codes for Adaptive Behavior Analysis. On September 5, 2018 the American Medical Association CPT Editorial Panel announced new CPT codes, including 10 new codes for ABA billing. These codes will take effect and be available for use effective January 1, 2019, but payors may implement them over various time schedules.

These new billing codes matter — especially since reimbursement for your hard work with clients depends on correct billing procedures. At CentralReach, we want to support you through this transition so you can continue to deliver superior ABA services. The following FAQs and resources were developed to jumpstart your preparation efforts and help you successfully adopt these new CPT codes.

Let’s get started!

What are CPT codes?

The Current Procedural Terminology (CPT) is a listing of terms and identifying codes used to report services and bill medical insurance providers. The CPT codes are issued, maintained, and copyrighted by the American Medical Association (AMA). Category I codes are permanent, and Category III codes are temporary (to allow for data collection in emerging fields).

What are the key differences between the new and old CPT codes for ABA?

  • The set of codes is smaller (10 new versus 16 old)
  • All codes are timed (minimum 15 minute increments)
  • There are NO codes for indirect services. However, there may be allowance under code 97151 to “analyze and interpret” and to “prepare.”

How might my practice benefit from the new CPT codes?

The ABA codes previously fell under Category III (temporary). Now, most will be elevated to Category I (permanent). Status as Category I codes should lead to fewer denials of coverage due to rationale such as “experimental” or “unproven” or “not medically necessary.”

Also, HIPAA requires the implementation and use of Category I codes, so reimbursement may be easier.

How might the new CPT codes affect my revenue stream?

Implementation of the new codes may take a quarter or longer, depending on the payor. Your revenue stream may be disrupted. Additionally, you may need to negotiate new rates with your payors, since the codes do not cover indirect services.

How should I prepare for CPT code implementation?

It may take several months for your payor to adapt the new CPT codes, but you can get a jumpstart by taking the following steps:

  1. Read the codes. While we recommend reading the full AMA CPT codes, the BACB provides a helpful crosswalk between the old and new codes. All 16 old codes were Category III codes, which were temporary. The 10 new codes include Category I codes (8 permanent codes) and Category III codes (2 temporary codes).
  2. Attend a local or online training. Ensure your billing and clinical teams understand the services included under each code. Consider external trainings and resources such as Q&A sessions by the Association for Professional Behavior Analysis, and this recorded webinar by the Behavioral Health Center of Excellence.
  3. Get in constant contact with your payors. Your provider network reps will be the most valuable point of contact, as they are employed by the insurance carriers and will have access to information specific to that carrier. Use CentralReach’s CPT Payor Checklist, a resource designed to help you get prepared to discuss key information about your payors’ timelines, authorizations, and new unit rates.
  4. Continue to read your CentralReach emails. Look for a future webinar, implementation guide, and other aids to assist you with setting up the new CPT codes in your CentralReach account.  

Even though the implementation of the new CPT codes may create some challenges, CentralReach cares about your success and wants to see your practice thrive. Our platform has the flexibility and tools needed for you to smoothly implement these codes based on each of your payors’ specific requirements and timelines. Stay tuned for more information and resources on setting up your practice for 2019 CPT billing success!

Data functions as the lifeblood of behavior analysis. How does a practicing behavior analyst know if a particular intervention worked? Data. By what means do behavior analytic journals evaluate the effectiveness of experiments? Data. And in what manner do insurance companies assess the medical necessity for behavior analytic services? If you said data, right again!

Saying that data pervades behavior analysis would evoke nods of agreement from fellow behavior analysts (and maybe get you a beer at the conference if you said it enthusiastically). From Skinner to contemporary behavior analysis, data plays a pivotal role in basic research and applied practice.

Yet the sheer amount of data, along with questions about how to use it properly, can pose an overwhelming task for those entering the field. Functional assessment, single case design, and social validity all require data. And each of these behavioral applications uses data in significantly different ways.

Practitioners of the science of behavior (i.e., BCBAs and RBTs) often work directly with individuals. The BCBA conducts an assessment to determine areas of client needs and strengths. From the assessment data, a behavioral plan or program emerges. The behavior analyst or some other person (e.g., parent, registered behavioral technician, teacher) applies the intervention. Someone collects data and evaluates the intervention. However, collecting intervention data and analyzing assessment data sometimes get mixed up.

IVs and DVs

What people examine in science can vary considerably. But all scientific experiments share commonalities, including the concept of variables. Behavior analysis qualifies as a science and has several variables: independent variables, dependent variables, extraneous variables, confounding variables, and controlled variables.

The independent variable (IV) and the dependent variable (DV) form the basis of understanding a functional relation (i.e., one variable operates in a specific manner as a function of another variable).

The IV represents the event or variable the behavior analyst attempts to control. In applied practice, those IVs go by the name of “interventions.”

On the other hand, the DV constitutes a variable measured or tested. The DV will show what, if any, effects the IV has. Some example IVs and DVs in behavioral experiments include:

  • A person may smoke fewer cigarettes (DV) when exposed to negative images portraying the terrible health effects of smoking (IV).
  • A child may raise her hand more often in class (DV) when the teacher praises her for hand raising (IV).
  • A telemarketer may keep a potential customer on the phone longer (DV) when he compliments the customer (IV).

The above examples illustrate the ease with which people can identify IVs and DVs. Yet, sometimes BCBAs have so much intervention and assessment data collected the lines between the two can blur.

Accuracy Building Interventions

Many behavioral interventions help learners acquire or become accurate with content: Discrete Trial Instruction (also called Discrete Trial Training, and Discrete Trial Teaching), Natural Environment Teaching, or Pivotal Response Treatment, to name a few.

Discrete Trial Instruction (DTI) has become a very popular accuracy building intervention, especially for those working with children with autism. With DTI the behavior analyst implements five components: 1. Presenting the discriminative stimulus; 2. Providing a temporary prompt if necessary; 3. Waiting for the behavior to occur; 4. Providing a reinforcer; and 5. Finishing with a brief pause before beginning the next trial (Mayer, Sulzer-Azaroff, & Wallace, 2012). One discrete trial would capture the application of steps 1 through 5.

A behavior analyst working with a client would have a goal for DTI. The intervention may target color identification, gross motor imitation, or matching kitchen utensils. The behavior analyst would use DTI to help the client attain the goal (often expressed in percent correct such as “The child will imitate 25 two-step chains of motor behavior with 80% accuracy on 2 out of 3 sessions across a variety of trainers”).

The question becomes, what data should the BCBA chart? A review of program books or program binders reveals at least two practices.

  1. Some BCBAs will chart prompt levels. The prompt levels display prompt level data. Did the BCBA or RBT use physical (full or partial), modeling, gestural, verbal, or visual prompts?
  2. BCBAs also record plus/minus (i.e., plus for a correct, a minus for incorrect response). The plus/minus data then convert to a percentage. For example, for five trials of matching yield 3 + (pluses) and 2 – (minuses). The data transform to 60% correct (3 correct out of 5 trials).

In both of the previous cases, the data tell a story. For the prompt levels, the data speak to BCBA or RBT behavior. Prompts come from the behavior analyst or behavior technician, and the data communicate what the adult did, not what the client did.

In the second example, the percent correct reports the accuracy of the client’s behavior. Specifically, how well or how accurately did the client perform with the set of discrete trials. The client participated in 5 discrete trials and correctly completed 3 of them (60% correct).

The recorded data on a graph will show trend, level, and variability of the data. But does any of the data answer the question, “Did the client meet his performance goal?” In other words, if a behavior analyst set a goal for a client that involved matching the five primary colors, do the recorded and graphed data answer the question?

The discrete trial data reflect progress with the accuracy building intervention itself, not necessary an independent assessment of client behavior.

Prompt data certainly do not get at how well a client can match the colors. And the discrete trial data reflect progress with the accuracy building intervention itself, not necessary an independent assessment of client behavior. What better options exist for data-scrupulous BCBAs and RBTs?

Data Options

The behavior analyst must first decide what data to chart. A review of the IVs and DVs may help. Imagine the following experimental question:

Will the accuracy building intervention discrete trial instruction improve a client’s ability to label five primary color swatches?

The previous experimental question offers options. The behavior analyst could record data on the IV (DTI), the DV (labeling the five primary colors), or both. Monitoring data on the DV or IV provides the behavior analyst and behavior tech with different information.

table1_data_monitoring_IV_DV-01

Table 1. Difference between data monitoring and analyzing the DV and IV

Table 1 does indicate advantages to recording, graphing, and analyzing data on the intervention (IV). And while the behavior analyst can learn about the intervention, not having any data on the DV means not knowing or understanding the effects on a client’s behavior. The behavior analyst must decide when, on what, and how much data to collect.

The decision to collect data doesn’t end with a data binder. In Precision Teaching, and embedded in Chartlytics software, several options for displaying data exist. The data display choices include Geometric Mean, First, Last, Stacked, Median, Summative, Best, and Worst. Each will provide different information for the DV and IV.

What does each option mean and when should a behavior analyst use each? Table 2 provides the answers. Deciding whether to use First, Best, or Geometric resides with the BCBA, RBT, and in some cases the client. Part of the data process involves different people looking at the data. The options for focusing in on one particular aspect of data display will depend on clinical circumstances.

table2_points_to_display-01

Table 2. Definition of different points to display with advantages for each

Some other considerations include the following:

  1. Many Precision Teachers use Best when employing “celeration aims.” Using First may also work best with setting daily improvement goals or aims.
  2. Summative may help guard against multiple observers who pass data sheets around. Summative, as with duration data, have great utility when collected across more than one observer.
  3. Remember, none of the previously mentioned data options matter if the BCBA or RBT collects only one data point per day.

The options for displaying intervention or measurement data make for different narratives. An example of multifaceted data appears in Figure 1. In one session an RBT ran six discrete trials that produced six sets of data points.

The data come from Chartlytics and show the accel and decel data for each trial, as well as the date, time, and person collecting the data. The recorded time provides an account of the pace with which the discrete trials occurred.

Figure 1 Screenshot data

Figure 1. Data collected from one day of DTI

As shown in Figure 2 below, the BCBA can inspect the data with any of the previously mentioned options from Table 2. The graphical embodiment of the different “Points to Display” bring into focus the advantages listed in Table 2. Each chart segment has a Count Per Day vertical axis and Successive Calendar Days horizontal axis. The yellow aim bands convey the aim or goal for the intervention data (i.e., corrects = 20 and incorrects = 1 to 0).

Figure 2 Eight different displays

Figure 2. Data represented with different options

Contrast the First and Last data displays. The First discrete trial had more incorrects than corrects while the Last flips the interpretation. The Geometric Mean and Median look very similar suggesting the mean or average for the data set lie at 4 or 5 corrects with 4 incorrects. The Best and Worst also drastically differ from each other, demonstrating the margins of improvement in the overall session. And Stacked paints a picture of all performance data on one view. The dispersal of corrects and incorrects reveal the variability and accuracy of discrete trials.

The data views in Figure 2 all speak to the IV or intervention (DTI) and not an independent assessment of the skill (labeling five primary colors). The ability to see all of the different displays and Points to Display contextualize the data. A behavior analyst gains understanding and insight when inspecting the data with different options.

Conclusion

Focusing on intervention data communicates how special conditions arranged by the behavior analyst may affect client behavior. The answer to how much client behavior does change becomes visible with an independent assessment of target behavior outside of the intervention. Having different options to display IV and DV data lead a data analyst (e.g., BCBA, RBT, client, stakeholder) down a fruitful path — discovering functional relations and what works best for each client.

Rick Kubina, Ph.D., BCBA-D
Director or Research, CentralReach
Professor, The Pennsylvania State University

References

Mayer, G. R., Sulzer-Azaroff, B., & Wallace, M. (2012). Behavior analysis for lasting change (2nd ed.). Cornwall-on-Hudson, NY: Sloan.

How do people achieve fluency, or true mastery with content area knowledge? For example, subjects like biology, statistics, physics, and history all possess their own vocabulary and concepts. Mastering abstract information such as the Linnaean Taxonomy (biology), probability (statistics), velocity (physics), or the branches of the government (American history) pose challenges to all students.

Many self-study methods exist which help students, or anyone, learn content. Researchers surveyed college students and discovered 11 different study strategies. After (1) rereading notes or the textbook and (2) engaging with practice problems, students used (3) flashcards (Karpicke, Buttler, & Roediger, 2009).

Many studies examine flashcards and their benefits. For instance, flashcards have helped young children learn to read better, aided medical students acquisition of terms, increased university students psychology exam scores, and even heightened patients understanding of diabetes and medication adherence.

Flashcards continue to attract the interest of researchers and practitioners due to their effectiveness, adaptability, and portability. Yet even with the previously stated benefits and popularity of flashcards, several factors limit their potential.

  1. Almost all flashcard practice trials have no set timed practice interval. In other words, students will practice in an untimed manner.
  2. No uniform performance goals exist. Students may practice to any accuracy criteria (e.g., 80%, 90%, or 100%).
  3. Flashcards lack instructional design. Creating flashcards comes with no set of rules and each deck may contain widely discrepant methods for presenting target content.

The previously stated limitations make flashcards less effective. Students using the popular instructional tool may not learn content as effectively or efficiently as they like. Furthermore, retaining information and moving forward with more complicated content may occur at slower place or not at all. Fortunately, a method exists that addresses the flashcard limitations and has research demonstrating accelerated performance gains and learning.

Flashcards Morph into SAFMEDS

In 1978 Ogden Lindsley and Steve Graf pioneered a practice and assessment procedure called SAFMEDS (Potts, Eshleman, & Cooper, 1993). SAFMEDS stands for Say All Fast, a Minute Every Day, Shuffled. In other words, learners would:

  • See the front of the card and Say the answer.
  • Practice with the entire set or All of the content in the deck
  • Go through the content Fast instead of slow to produce steeper celerations (faster learning).
  • Practice with timed units such as a Minute or other consistent interval (e.g., 20 seconds).
  • Assess progress and practice content Every Day instead of weekly or some other protracted time interval.
  • Shuffle the deck instead of practicing the cards in order.

A host of studies demonstrate the superiority of SAFMEDS over flashcards and other self-study practices. Research indicates that SAFMEDS form an effective instructional and assessment method in many domains (View some examples under Resources at the bottom of this article).

A study conducted by your friendly blog author demonstrates how SAFMEDS can help behavior change agents improve understanding of important Precision Teaching concepts such as movement cycles.

SAFMEDS and Movement Cycles Study

Staff who work with people with disabilities such as autism, intellectual disabilities, and learning disabilities can employ Precision Teaching to enhance measurement, decision making, and communication of data among team members and stakeholders. Precision Teaching has four steps:Pinpoint, Record, Change, Try Again.

The first step consists of creating a pinpoint. And at the core of the pinpoint exists a movement cycle. Movement cycles contain two parts, an observable action described by an active verb and the object involved with the action.

The essence of every behavior originates in a movement cycle. Composing an essay would translate to “writes essay” (action verb + object involved with the action). “Aggression” could include several movement cycles: hits staff, slaps face, or scratches arm. And complex behavior such as “joint attention” may encompass aims gaze, points finger, or follows gaze.

Behavior change agents can profit from Precision Teaching knowledge such as movement cycles. A study, for example, demonstrated a 94% difference in detection accuracy when comparing movement cycles with operational definitions (i.e., 35% detection accuracy for operational definitions and 68% for movement cycles). Another experiment examined how behavior analysts and special education teachers working with students with autism would learn movement cycles with SAFMEDS.

In the Kubina, Yurich, Durica, & Healy (2016) study, the experimenters crafted two SAFMEDS decks with pictures depicting students behaving. The picture on the front of the card had a corresponding movement cycle (i.e., two words = active verb in the simple present tense + object receiving action) on the back of the card.

Figure 1 came from one of the decks. The student had a specific behavior participants needed to translate into a movement cycle. In the picture circles and arrows focused precision and indicated movement. The larger circle showed a hand while the smaller circle centered on two fingers. The arrow portrayed downward motion. Therefore, if the participant said “presses toy” the experimenters would score the response as correct.

Figure 1

Figure 1. A picture of a card taken from a movement cycle deck.

The participants made many competing, incorrect responses to the SAFMEDS cards at the beginning of the study. Participants might say the incorrect active verb (push instead of press), use the incorrect verb tense (pressing – present progressive tense – instead of presses – simple present tense), choose an incorrect object receiving the action (piano instead of key), or not use the proper format of action + object involved with the action (saying “He is hitting the doll”)

Additionally, the participants initially performed the assessment task slowly, with hesitations, or skipped answers outright. The following clip came from one participant’s baseline. The X’s in the video represent incorrect responses.

Across time the participants increased their frequency. The students practiced saying their answers and self-correcting their responses. The participants also practiced on the whole deck each day and shuffled it before a practice trial.

Figure 2 illustrates skill progress. In baseline, all of the participants made more incorrect (x) than correct (dot) answers. Furthermore, incorrect responses accelerated in baseline, a worsening condition for saying movement cycles.

Figure 2. A multiple baseline design for group 2 using Deck A movement cycles.

The experimenters applied the SAFMEDS intervention and the same learning pictures emerged: correct responses grew rapidly while incorrect responses decelerated quickly.

The transformation appeared remarkable. The following video captures one of the performances of a participant toward the end of the SAFMEDS intervention. The dots on the video mark each instance of a correct response made in time.

 

The SAFMEDS study had several important findings:

  1. SAFMEDS offers a reliable method to help adult learners quickly gain competency with the targeted content (e.g., movement cycles);
  2. Participants retained information across time;
  3. SAFMEDS facilitates extension of content to novel content (i.e., Participants performed very well on a novel deck demonstrating transfer of learning);
  4. A performance criterion or frequency aim can signal how fast and accurate participants must respond in order to achieve their goal; and
  5. Analyzing performance results on a Standard Celeration Chart provides a wealth of visual and statistical information.

Conclusion

SAFMEDS supports the learning of simple and complex content for young and older learners. SAFMEDS also gives rise to important learning outcomes such as long-term retention and maintenance, application or extension of content to novel material, and social validity seen in meaningful participant behavior change and stakeholder satisfaction (see references below and in article).

Rick Kubina, Ph.D., BCBA-D

Director of Research, CentralReach

Professor of Special Education, The Pennsylvania State University

References

Karpicke, J. D., Butler, A. C., & Roediger III, H. L.(2009). Metacognitive strategies in student learning: Do students practice retrieval when they study on their own? Memory, 17, 471-479.

Kubina, R. M., Yurich, K. L., Durica, K. C., & Healy, N. M. (2016). Developing behavioral fluency with movement cycles using SAFMEDS. Journal of Behavioral Education, 25, 120-141.

Potts, L., Eshleman, J. W., & Cooper, J. O. (1993). Ogden R. Lindsley and the historical development of precision teaching. The Behavior Analyst, 16(2),177-189.

Resources

Branch, A., Hastings, R. P., Beverley, M. & Hughes, J. C. (2018). Increasing support staff fluency with the content of behaviour support plans: An application of precision teachingJournal of Intellectual & Developmental Disability, 43, 213-222.

Chapman, S. S., Ewing, C. B., & Mozzoni, M. P. (2005). Precision teaching and fluency training across cognitive, physical, and academic tasks in children with traumatic brain injury: A multiple baseline studyBehavioral Interventions, 20, 37-49.

Mason, L. L., Rivera, C. J., & Arriaga, A. (2018). The effects of an avoidance contingency on postsecondary student SAFMEDS performanceEuropean Journal of Behavior Analysis, 19, 62-71.

Peladeau, N., Forget, J., & Gagne, F. (2003). Effect of paced and unpaced practice on skill application and retention: How much is enoughAmerican Educational Research Journal, 40, 769-801.

 

CentralReach, a leading EHR and practice management platform that enables applied behavioral analysis (ABA) clinicians and educators to produce superior outcomes for people with autism, announced the addition of four executive hires to bolster the company’s position in the market. The hires include Richard Barndt as Chief Technology Officer, Jonathan Gordon as Chief Financial Officer, Karen Parisi as Senior Vice President of Corporate Marketing, and Mark Cope as Senior Vice President of Sales. The announcement also coincides with the promotion of Chris Plante to Senior Vice President of Client Operations.

With these hires, CEO Chris Sullens quickly adds to founder Charlotte Fudge’s legacy of building an ABA technology company supported by 18 BCBAs on staff and over 100 years of combined clinician experience. The combination of industry and technology expertise will enable CentralReach to reach its next phase of growth.

Barndt will lead the technology team in their mission to continue developing high-performing, innovative and reliable products. His extensive healthcare and technology experience at companies such as Kinnser, will help CentralReach better serve the ABA space with intuitive and customer-centric products.

Gordon will oversee all financial strategy and operations to guide CentralReach into a new stage of maturity. Gordon’s experience with organic restructuring and strategic acquisitions to achieve business efficiency and profitability will further solidify CentralReach in the market for years to come.

Parisi will spearhead all marketing efforts for the company, developing new growth strategies and overseeing customer acquisition and retention channels. With extensive experience in marketing and business operations, Parisi is expected to build an impactful marketing function to better serve the ABA audience.

Cope will manage the full sales organization, including revenue management and team expansion. His depth of knowledge and proven ability to build high-performance sales teams will be key in growing CentralReach’s customer base across both the enterprise and SMB markets.

“I’m happy to welcome Richard, Jonathan, Karen and Mark to the team,“ said CEO, Chris Sullens. “Scaling a rapidly growing business like CentralReach requires building a team with the right mix of industry experts and experienced technology executives.  With these additions, CentralReach is now better positioned to solidify and extend its market leadership position by combining their proven ability to scale technology companies with our expansive in-house ABA expertise. We are significantly increasing investments in our people, processes, and products to improve our product’s performance and increase client satisfaction, all with the goal to fulfill our mission of providing powerful, intuitive ABA solutions that enable CentralReach clients to produce superior outcomes for people with autism.”

The new hire announcement comes on the tails of CentralReach’s recent acquisition of Chartlytics, a precision data collection and analysis technology that strengthens clinical decision making. Precision teaching expert, Dr. Rick Kubina will lead the clinical research and content creation efforts as Director of Research, further cementing the company’s commitment to advancing ABA practices and producing superior client outcomes.

About CentralReach

CentralReach is a leading EHR and practice management platform that enables applied behavioral analysis (ABA) clinicians and educators to produce superior outcomes for people with autism. Powered by its acquisition of Chartlytics, the company is revolutionizing the ABA space with cutting-edge solutions including precision teaching, clinical data collection, scheduling, billing, and learning management. Trusted by more than 50,000 clinicians and educators, CentralReach is committed to ongoing product improvement, market-leading industry expertise, world-class client satisfaction, and support of the ABA community to propel industry practitioners into a new era of excellence. For more information, please visit www.centralreach.com or follow us on Twitter @CentralReach.

CentralReach, a leading provider of electronic health record, clinical solutions and practice management software for clinics focused on applied behavior analysis (ABA), speech therapy, and occupational therapy (OT), is proud to announce the appointment of its new Chief Executive Officer, Chris Sullens, effective immediately. Coinciding with this announcement, CentralReach also plans to add a New Jersey office location to its current headquarters located in Pompano Beach, Florida.

Today’s announcement comes at an exciting inflection point for CentralReach. The company continues to experience rapid organic growth and recently acquired Chartlytics, the leading real-time behavior change analytics software provider, to solidify its position as the market leader in ABA therapy technology. CentralReach also released a second version of CR Go, the platform’s powerful mobile application that enables in-session clinical data collection by clinicians regardless of whether the device is online or offline.

“I’m thrilled to join the CentralReach team as it embarks on this next stage of growth and investment,” said Sullens. “We have a unique opportunity to enhance our platform in a way that enables our clients to automate and streamline back office tasks so they can focus their time and energy where it belongs, providing great outcomes for their patients and families. With the strong backing of Insight Venture Partners, we have the financial resources, experience and expertise to significantly increase investment in our people, our products and our systems to support our growth and improve client satisfaction.”

Sullens brings decades of experience to the company and has a proven track record of building strong company cultures and taking customer-centric technology companies like CentralReach to the next level. Prior to CentralReach, Sullens spent 10 years as President and CEO of WorkWave, a leading provider of cloud-based software solutions for the field service and last mile logistics industries, which was recently acquired by IFS, an EQT-backed, global enterprise software provider based in Sweden. WorkWave is well known for its award-winning culture, growth and community service. Under Sullens’ leadership, it was recognized by NJ Best Places to Work seven times, named an Inc. Best Place to Work company, named to the Inc. 5000 list for fast growing companies five times and earned numerous other growth and culture awards. Sullens was also named 2016 EY Entrepreneur of the Year in New Jersey for Software Services and won a Stevie award for People Focused CEO of the Year in 2017.

“It is with great pleasure and confidence that I welcome Chris to our family,” said CentralReach founder and former CEO, Charlotte Fudge. “Chris is a true visionary with a proven track record of execution. His seasoned expertise and skills combined with his passion for serving his customers are indicators for the type of industry-leading success CentralReach will continue to experience and thrive on under his leadership.”

“As we continue to see prevalence rates climb, demand for autism care has never been higher. With Chris’ next-generation mindset and a focus on continuing to adopt the most advanced technological solutions to meet the growing demands of Clinicians, CentralReach will be able to augment the industry entirely so that daily practice struggles are replaced with a precise focus on quality care,” said Richard Wells, Managing Director at Insight Venture Partners. “We’re thrilled to bring Chris on board to lead the team, and look forward to this next chapter in CentralReach’s journey.”

This press release was originally published on PR Newswire.

About CentralReach
CentralReach is the leading EHR and practice management solution for clinicians and educators focused on applied behavioral analysis, occupational therapy, speech therapy, and PK-12 special education. CentralReach is the only end-to-end solution in the industry that integrates clinical data collection, practice management and a marketplace full of engaging courses and curriculum from qualified providers with RBT training courses and CEU offerings. CentralReach is headquartered in Pompano Beach, Florida. For more information, please visit: www.centralreach.com.

About Insight Venture Partners
Insight Venture Partners is a leading global venture capital and private equity firm investing in high-growth technology and software companies that are driving transformative change in their industries. Founded in 1995, Insight currently has over $23 billion under management and has cumulatively invested in more than 300 companies worldwide. Our mission is to find, fund and work successfully with visionary executives, providing them with practical, hands-on growth expertise to foster long-term success. Across our people and our portfolio, we encourage a culture around a core belief: growth equals opportunity. For more information on Insight and all its investments, visit www.insightpartners.com or follow us on Twitter @insightpartners.

Just this past April, the CDC (Centers for Disease Control and Prevention) released their most recent autism rates findings which stated that about 1 in 59 8-year-old children in 11 communities (more than 300,000 children) across the United States were identified as having autism spectrum disorder (ASD) according to the report published earlier this month in the CDC’s Morbidity and Mortality Weekly Report (MMWR) Surveillance Summary. That is an increase of over 15% from their previous estimated report of 1 in 68 children having autism in 2016. Some of the change in prevalence is said to be caused by improved autism identification which is important, because children identified early with autism and connected to services are more likely to reach their fullest potential.

That’s where we come in. We help therapists focus on delivering exceptional care by providing the tools needed to run a practice and manage client caseloads. Over six years ago, our founder, Charlotte Fudge, (who was a practicing BCBA herself back then) was all too familiar with the difficulties and loss of productivity faced by clinicians on a daily basis. Experiencing the same problems while running a practice of her own, she took matters into her own hands and decided to do something about it. Today, we bring together over 100 years of clinical expertise with leading technologists and developers to create flexible and integrated tools to help therapy practices thrive.

We strengthened our commitment to the success of our users by recently announcing the acquisition of Chartlytics, a leading real-time behavior change analytics software provider with unparalleled clinical decision-making technology, using Precision Teaching and Standard Celeration Charts. The new addition will enhance and empower the best clinicians in the industry with unbeatable data and insights to dramatically improve quality of care. Taking it even further, we also just recently released the second version of our CR Go app that includes data collection, so that collecting data from wherever, whenever, is in the palm of our clinicians’ hands…WIFI or not!

We not only support therapists through our technology, we support our community as well. Going on our second year, CentralReach has spearheaded our ReachOut program, a fairly-recent initiative we are very proud of and one we hope other organizations will replicate. It’s a way we give back to the community we serve by providing employment opportunities for adults on the autism spectrum. Outside of our office we’ve also donated to multiple award-winning, non-profit organizations including Surfers For Autism, and the Atlanta Autism Consortium.

Demand for ABA services has accelerated rapidly since the early 1990s and although it is only one of many areas of application, much of the increase has been in the realm of interventions for individuals diagnosed with ASD. Families of people with autism have played a major role in advocating for public policies to increase the availability of – and funding for – ABA services. Families like these are the ones that motivate us here at CentralReach every day to create the tools therapists need to deliver necessary care. So, no matter what occurs in the field of ASD and ABA it goes without saying that CentralReach will always be here to do our part.

Learn more about CentralReach’s services and commitment to assisting over 40,000 therapists and educators with better outcomes for client care and solutions for effectively managing a therapy practice. Book a strategy session today through our one-on-one product demonstration.

Today, CentralReach, the premier provider of electronic health record and practice management software for clinics focused on applied behavioral analysis (ABA), speech therapy, and occupational therapy (OT) is pleased to announce that it has closed the acquisition of Chartlytics, the leading real-time behavior change analytics software provider. CentralReach, backed by Insight Venture Partners, will combine its cloud-based practice management and clinical data collection software with Chartlytics’ best-in-class precision data measurement and advanced analytics technology, bringing the power of the combined offering to its over 40,000 therapist and educator users.

“We couldn’t be happier to welcome Chartlytics to the CentralReach family,” said Charlotte Fudge, CentralReach’s founder. “Just this past month alone, the CDC reported higher autism prevalence rates that increased from an estimated 1 in 68 children in 2016 to now 1 in 59 in 2018. By adding Chartlytics to the market-leading CentralReach product portfolio, we will continue to support the growing need from our users for advanced clinical analytics and precision treatment.”

By joining forces, CentralReach and Chartlytics will lead the ABA, speech therapy, and OT markets on their journey to adopt next-generation clinical research and assessment technology, including sophisticated data collection, goal graphing, client session notes, and now – with Chartlytics – precision behavior measurement, an information-rich visual display, and real-time decision-making to accelerate learning outcomes. All of this functionality complements CentralReach’s scheduling, payroll, billing, claims processing, and content marketplace offerings.

“This acquisition is a pivotal moment in the history of precision behavior measurement,” said David Stevens, co-founder of Chartlytics. “Increasing the quality of decision making for CentralReach therapists and educators is truly meaningful since it will help learners, many of them children on the spectrum, to thrive.”

“CentralReach already was the scale leader with the most advanced technology in the ABA, speech therapy, and OT segments,” said Lonne Jaffe, Managing Director at Insight Venture Partners. “We expect the CentralReach acquisition of Chartlytics to accelerate the industry’s adoption of advanced analytics capabilities, augmenting and empowering the best clinicians in the industry with data and insights, and dramatically improving quality of care.”

About CentralReach
CentralReach is the leading EHR and practice management solution for clinicians focused on applied behavioral analysis, multi-specialty, occupational therapy, speech therapy, and PK-12. CentralReach is the only end to end solution in the market that integrates clinical data collection, practice management, and a marketplace product for these audiences. CentralReach is headquartered in Pompano Beach, Florida.

About Chartlytics
Chartlytics is the leading provider of clinical decision-making software and related services for professionals in applied behavior analysis, education, occupational therapy, speech-language services, and more. Their digital platform makes Precision Teaching easy, so clinicians can precisely measure any behavior or performance, record it on an honest visual display, and make confident data-driven decisions. For more information, visit https://www.chartlytics.com.

About Insight Venture Partners
Insight Venture Partners is a leading global venture capital and private equity firm investing in high-growth technology and software companies that are driving transformative change in their industries. Founded in 1995, Insight has raised more than $18 billion and invested in over 300 companies worldwide. Our mission is to find, fund and work successfully with visionary executives, providing them with practical, hands-on growth expertise to foster long-term success. Across our people and our portfolio, we encourage a culture around a core belief: growth equals opportunity. For more information on Insight and all its investments, visit www.insightpartners.com or follow us on Twitter @insightpartners.

This month’s product release is packed with new features to help users streamline their workflow within CentralReach. Changes include workflow enhancements to identify and convert billable appointments and additional functionalities within the Human Resources Module to manage employees and their time off requests. We will also have a new look & feel as well as new features within Criterion & Prompting templates found in the Learn/Clinical Module. All product releases mentioned below will be live on CentralReach Friday, April 6, 2018!

Converting Billable Appointments
No more jumping around modules or clicking several times once a billable appointment is identified outside the Billing Module. Converting billable appointments is a critical part of a therapist’s day-to-day and we want to make sure you and your team are able to easily identify and convert billable appointments. For this reason, we have included additional links and icons within My Dashboard and My Calendar to quickly identify unconverted and partially converted billable appointments that link directly to therapist timesheets to be converted into billable hours.

A ‘Lightning Bolt’ icon has been added to the appointments in the ‘My Appointments Upcoming’ widget in My Dashboard. The blue ‘Lightning Bolt’ icon identifies unconverted billable appointments, while the yellow ‘Lightning Bolt’ icon identifies partially converted billable appointments. When clicking these icons, the user will be immediately redirected to create a timesheet for the appointment.

Dashboard

Additionally, before this release, there was a list of all the unconverted appointments within the ‘Notifications & Checklists’ section, on the right-hand side of My Dashboard. However, this was just informational, and users had to then go into the Billing Module to search the appointment that needed to be converted… Now, a new link has been added to convert the appointment directly from the Notifications & Checklists section… clever, right?

Checklists

Last, but not least, the calendar within the Scheduling Module also has the ‘Lightning Bolt’ icon within the Monthly and Weekly views, with direct access to be linked to create a timesheet for the appointment.

Convert Schedule

New Human Resources Module features to help you better manage employees
Managers and/or org admins must have full visibility over all their employee files and time off requests to effectively manage their workforce… Employees, on the other hand, should be able to request time off approval to their manager, right? Now the Human Resources Module has a new look and feel for supervisor(s) and/or the org’s HR Manager(s) to manage their employees, and new functionality to allow employees to request time off to their manager, or to multiple managers.

The new employee table/grid under the Employee section in the Human Resources Module provides full visibility to view and administer employee files and manage employee time off requests if the user has the proper permission. The Employee view can be customized with columns of information based on the user’s specific needs, and provides the ability to easily access the employee file to add or edit information by just clicking the employee name.

Employee Table

Time off requests can also be managed from this new section. Two new permission rights have been added to ensure the right people have access to view employee time off requests. One permission provides a superuser right –  Admin – Time Off > Administrator – to view time off requests for all the employees in the org. The second permission right – Admin – Time Off > Manage Employees – only provides permission to view the time off requests for the employees that have requested the user’s approval.

Time off requests

From the employee’s standpoint, they are able to request time off to their manager(s). The managers that will appear on the employee’s request form, are based on the ones that have been configured with at least one of the permissions detailed above. Once a request has been submitted, a new section titled ‘My Time Off Requests’ is available for employees to view the status of their requests, and edit it if necessary.

Time off Requested

HR

My time off request

Clinical/Learn Module
Criterion & Prompting updates are finally here! Clinical administrators can now duplicate and modify pre-made templates for organization-wide use and only custom templates appear for supervisors. This feature is great for new users to view and modify preconfigured templates or for existing users who want to take their clinical account to the next level.

NEW System Clinical Templates found within the below types of templates in your Learn platform:

  • Criterion & Prompting Templates
  • Instructional Note Templates
  • ABC Templates

 

Additionally, we are launching a new look and feel for the Criteria & Prompting Template and adding new functionality for providers, which includes:

  • Concurrent Phases
    • Baseline -> Intervention or Maintenance (Intervene or master at onset)
    • Maintenance -> Intervention (Specific regression criterion)
  • Two new Frame Types: ‘Average of consecutive Data Points’ and ‘Consecutive Error Responses’
  • Ability to copy templates
  • Ability to “auto hold” a goal – great for clients who get stuck at teaching phases
  • Require criterion to be met across two providers
  • Place goals on hold for a set length of time
  • % Independent Goals & Whole Chain Task Analysis given Systematic Prompt Fading
    • Multiple Intervention Phases, advance to the next lower prompt level

Hierarchical Criteria

To learn more about these clinical features, view this pre-recorded webinar here.

Questions? Register for an Open Office Hours Clinical session.

 

In an effort to continue CentralReach’s commitment to providing leading technology and software solutions to behavioral health and developmental disability care clinicians and practices, CentralReach, leading provider of EHR technology, Behavioral Health Practice Management and Clinical Data Collection partners with Insight Venture Partners, the leading global venture capital and private equity firm investing in high-growth technology and software companies.

“To say that I am ecstatic about this partnership is an understatement. I am beyond thrilled to have Insight Venture Partners join forces with our CentralReach family! Insight’s depth of experience in scaling software businesses will help CentralReach to continue our relentless effort in revolutionizing disability care technology,” said CEO and Co-Founder Charlotte Fudge. “The support that Insight can bring to bear will allow us to continue to enhance our software, empowering our current and future therapists and educator users.”  

“With 24 of every 1000 children diagnosed with autism each year and 39 additional states enacting autism coverage reform laws since 2008, there is a critical need for best-in-class software to manage the care process,” said Richard Wells, Managing Director at Insight Venture Partners. “The company’s accelerating growth will benefit therapists, educators, and patients, and we couldn’t be more excited to welcome CentralReach to the Insight portfolio.”

News of the partnership comes at an exciting time for CentralReach, who just this past year alone released impressive industry software features such as a HIPAA secure one-to-one or group chat messaging application, ReachMe and a mobile app, which currently enables location-based time tracking that incorporates ReachMe and is set to include powerful offline data collection capabilities to be released in its second version this coming March.

Since its founding in 2012, CentralReach has since expanded from an ABA focused platform to include software solutions for speech therapy, PK-12 education, and occupational therapy. With Insight Venture Partners by the healthcare tech company’s side, CentralReach will continue its expansion into markets in need of tangible solutions to data collection and management efficiencies while also continuing its mission to provide tools and technology that will revolutionize the behavior and developmental disabilities sectors.

A previous version of this release was first featured here.

About CentralReach
CentralReach is the leading EHR and practice management solution for clinicians focused on applied behavioral analysis, multi-specialty, occupational therapy, speech therapy, and PK-12. CentralReach is the only end to end solution in the market that integrates clinical data collection, practice management, and a marketplace product for these audiences. CentralReach is headquartered in Pompano Beach, Florida. To learn more, visit https://centralreach.com.

About Insight Venture Partners
Insight Venture Partners is a leading global venture capital and private equity firm investing in high-growth technology and software companies that are driving transformative change in their industries. Founded in 1995, Insight has raised more than $18 billion and invested in over 300 companies worldwide. Our mission is to find, fund and work successfully with visionary executives, providing them with practical, hands-on growth expertise to foster long-term success. Across our people and our portfolio, we encourage a culture around a core belief: growth equals opportunity. For more information on Insight and all its investments, visit www.insightpartners.com or follow us on Twitter @insightpartners.

That it “takes a village” is commonly accepted when it comes to educating children, and the axiom rings especially true when a child has special needs. Students with special needs often learn in non-traditional ways. The adults responsible for their development face unique challenges, as well as successes–they’re constantly pursuing novel ways to make things click. And when they do, those aha! moments are what make the extra effort worthwhile.

To help students in special education settings, it is imperative for educators and parents to collaborate. Two minds are better than one, and in order to stay in tune with the child’s needs and overcome barriers to learning, all parties are critical. Nobody knows their child’s unique strengths, challenges, and needs better than a parent does. Paired with an educational team that has training in various interventions and methodologies to ensure all children learn, all children can reach their full potential.

To be effective, this collaboration has to extend well beyond the Individualized Education Program (IEP) table. This is a daily practice to ensure that everyone is working together for the benefit of the learner. Thanks to technology, staying in touch and working together is easier than ever.

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