Number of Pages: 2

Who is it for?

• BCBA or qualifying ABA health provider

What is it?

• This is a template specifically designed for documenting activities during caregiver training sessions (CPT Code: 97156 or 97157)

• This template includes sections for documenting:

  • Behavior of concerns and caregiver's questions

  • Observation of caregiver's implementation of program and provision of feedback

  • Procedural fidelity check

  • Training materials provided and reviewed

  • Program or procedure reviewed or modeled

  • Planning and follow-up actions

  • Session summary

Why should you use it?

• Documenting billable activities is required by most insurance payors

• This template includes components that are generally audited by the payors

**Disclaimer: It is the user's responsibility to verify with the payor the type of information required in clinical documentation. While our template has coponents that are generally audited by the payors, we cannot guarantee it will meet the requirements by all the payors.