Webinar: The Reimbursement Landscape for Autism-Related Treatment Providers

Autism affects about 1 in 59 children -- an increase from 1 in 68 children just two years ago -- according recent data from the Centers for Disease Control and Prevention. Increased autism diagnoses mean higher-than-ever demand for Applied Behavior Analysis (ABA) therapy and disability-related care amidst a constantly shifting reimbursement landscape.

In this webinar, Nelson Hardiman lawyers John Mills and Lisa Montague will discuss the current status -- and likely growth over the next decade -- of reimbursement for autism-related therapies, including but not limited to ongoing evolution of current fee-for-service treatments into a value-based model.

Topics that will be covered include:

  • The Mental Health Parity Act
  • The Affordable Care Act
  • State-mandated autism insurance coverage
  • The role of Medicaid in autism-related reimbursement
  • The effectiveness of current reimbursement models, recent changes, and what is on the horizon
  • Understanding standards, regulations, and law pertaining to reimbursement collection approaches
  • The keys to a successful, quality, compliant program

Collecting payments and reimbursements are an important part of any autism treatment program. Providers will gain a deeper understanding of the current status of reimbursements for autism-related therapies. Whether payment is made by cash, insurance, state programs, Medicaid or other methods, there are a series of standards, regulations and laws pertaining to how reimbursement must be collected, and what services and products can be eligible for reimbursement.

This webinar highlights a comprehensive set of best practices for compliance with reimbursement rules as well as avoiding common pitfalls with collection of payment and essential tips for proactively approaching ongoing changes in healthcare treatment and insurance coverage.

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John Mills

John Mills

John Mills is a partner at the healthcare law firm Nelson Hardiman.

John's regulatory compliance work focuses on key issues facing providers that could potentially impede their business operations. He advises clients on managed care and ERISA compliance, voluntary disclosures of possible Medicare over-payments, medical staff and peer review, analysis of business arrangements to ensure compliance with the anti-kickback and Stark laws, and provides regulatory guidance to covered entities and contract pharmacies in connection with the federal 340B program.

Lisa Montague

Lisa Montague

Lisa Montague is an attorney at the healthcare law firm Nelson Hardiman.

As part of Nelson Hardiman's finance practice group, Lisa represents healthcare providers, including hospitals, physician organizations, long-term and behavioral care providers, telemedicine providers, and other healthcare-related organizations, in financial transactions. She focuses on mergers, acquisitions, asset-based loans, private equity, cash flow securitization, and debt and equity finance within the highly regulated healthcare services industry.


A National Trade Membership Association that provides education and advocacy for behavioral healthcare providers and related entities.

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