Special Guest on this Podcast
Kim Mack Rosenberg, Esq.
Inside the World of ABA Audits and Legal Guidance with Kim Mack Rosenberg, Esq.
In our latest episode of the 3 Pie Squared - ABA Business Leaders Podcast, we dive deep into the intricate world of audits, compliance, and legal guidance for ABA therapy providers. We were thrilled to welcome Kim Mack Rosenberg, Esq., the managing partner of Mack Rosenberg Law LLC, who brings over 20 years of expertise in representing individuals and ABA providers in complex legal matters.
Kim shared her extensive knowledge on navigating recoupment audits, understanding payer expectations, and avoiding common documentation pitfalls. Her insights are invaluable for ABA therapy providers who aim to maintain compliance and mitigate legal risks in their practice.
Key Takeaways from the Podcast:
1. Understanding Recoupment Audits:
Kim provided a detailed explanation of different types of audits, including compliance, administrative, and billing audits. She highlighted the importance of preparing for these audits and understanding payer expectations.
2. Common Pitfalls in Documentation:
One major focus of Kim's guidance was on avoiding common documentation errors. She stressed the importance of detailed and accurate session notes, the risks of cloned notes, and the necessity of thorough and compliant record-keeping practices.
3. Navigating Legal Challenges:
Kim shared strategies for responding to audit findings, including the importance of maintaining comprehensive documentation and being proactive in addressing any identified issues. She also discussed the role of internal audits and ongoing staff training in mitigating risks.
4. Support and Resources:
Kim emphasized the value of having robust support systems in place, including legal counsel, to navigate the complexities of payer requirements and compliance standards.
Guest Information
Kim Mack Rosenberg, Esq., is the managing partner of Mack Rosenberg Law LLC (formerly Bouer Law LLC), located in Princeton, New Jersey, with a practice active nationwide. She has over 20 years of experience as a litigator focusing on insurance coverage, products liability, and other complex matters. Since joining Bouer Law LLC in 2016, Kim has become a pivotal figure in prosecuting individual and class-wide impact litigation for families of children with ASD.
Her expertise spans healthcare compliance advice, payer disputes, licensing issues, and defending providers against audits and fraud allegations. Kim also conducts internal audits, prepares and trains clients on documentation/coding compliance, and assists in creating individualized performance improvement plans.
Kim is a regular speaker at ABA provider associations, organizations, and conferences nationwide and internationally. She is also a dedicated advocate for the autism spectrum disorder and disability communities, working closely with various non-profits and serving in leadership positions for ASD-related organizations.
- Explore Membership: Enhance your ABA practice with exclusive resources and support by joining the ABA Business Leaders Membership. Learn more here.
- Download Free Resources: Starting or managing an ABA practice? Download our free start-up list to ensure you have everything you need. Download here.
- Learn More About Kim Mack Rosenberg, Esq.: Discover more about Kim's practice and her extensive experience in representing ABA providers. Visit her website.
Kim's expertise and dedication to the ABA community make this episode a must-listen for anyone involved in ABA therapy practice management. Tune in to gain valuable insights and practical advice for navigating the challenging landscape of ABA audits and legal compliance.
