Audio Ethics of Medicaid Fraud: Scenarios and Q&A with Dr. Jon Bailey, BCBA-D

LEVEL: Advanced

CEU ELIGIBILITY:

2 BACB Learning or Ethics CEU

2 QABA Ethics or General

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On August 22, 2018, with Dr. Jon Bailey, BCBA-D, and 3 exceptional panelists, we explored the topic of the Ethics of Medicaid Fraud. In reviewing previous cases of Medicaid fraud, it was clear that for those agencies sanctioned by Medicaid in FL, and other behavioral agencies previously sanctioned - and even convicted - for healthcare fraud, ethics was either a non-consideration or just plain “thrown out the window.”  

But what we also learned during that session is that there are many, many agencies with a strong commitment to ethics, at both professional and organizational levels, looking for direction on how to put systems and controls in place to avoid situations such as billing fraud and other health care fraud and abuse from occurring at all.

Although healthcare fraud and abuse is an uncomfortable topic for many health professionals, it is also a topic that deserves a lot of attention and exploration. By developing organizational systems to curtail unethical business practices and foster a culture that embraces ethics - not as a punitive measure, but as a tool to help drive best practices – the field of behavior analysis can demonstrate our collective commitment to operating ethically.

By creating a system of accountability throughout the field, behavioral agencies can become trusted partners to those agencies providing the necessary funding that allows hundreds of thousands of people in the U.S. with Autism and other special needs to get access to the services that they desperately need.

The field of behavior analysis is young enough that we can reverse this dangerous trend and set ourselves apart from other professions without the same level of commitment to behaving ethically. Done properly, the field of behavior analysis can become an example of best practices in the field of healthcare.  

Join us as we continue our journey of exploring this critically important topic by analyzing cases and providing answers to questions submitted by BCBAs and behavioral services agencies across the U.S.

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