# BxScribe

> BxScribe is the AI-powered session note and study platform for RBTs, BCaBAs, and BCBAs. Draft, review, and export HIPAA-aligned ABA documentation in seconds — plus flashcards, mock exams, and client management for behavior analysts.

## What BxScribe is

BxScribe is a HIPAA-aligned AI session note and study platform built specifically for Applied Behavior Analysis (ABA) clinicians — Registered Behavior Technicians (RBTs), Board Certified Assistant Behavior Analysts (BCaBAs), and Board Certified Behavior Analysts (BCBAs). It generates payer-ready session notes from structured inputs, runs similarity guardrails so notes do not read as cloned, and includes flashcards and mock exams aligned to current BACB test content outlines.

## Who it is for

- RBTs writing daily session notes
- BCaBAs and BCBAs writing supervision notes, treatment plans, and progress reports
- ABA agencies coordinating documentation across teams
- Candidates preparing for the RBT, BCaBA, or BCBA certification exams

## Pricing

- RBT Free: 10 notes/month, 1 client - $0
- RBT Individual: 30 notes/month, 1 client - $19.99/mo or $191/yr
- RBT Pro: unlimited notes/month, unlimited clients - $34.99/mo or $335/yr
- BCaBA/BCBA Free: 10 notes/month, 1 client - $0
- BCaBA/BCBA Individual: 30 notes/month, 5 clients - $19.99/mo or $191/yr
- BCaBA/BCBA Pro: unlimited notes/month, unlimited clients - $39.99/mo or $379/yr
- Agency Starter: 60 notes per seat/month, 3-10 seats - $19.99/seat/mo
- Agency Pro: unlimited notes per seat/month, 5+ seats - $29.99/seat/mo
- Study RBT Free: $0
- Study RBT Pro: $39 for 45 days
- Study RBT Team: $34/seat for 60 days, 3+ seats
- Study BCaBA / BCBA Free: $0
- Study BCaBA / BCBA Pro: $99 for 90 days
- Study BCaBA / BCBA Team: $89/seat for 90 days, 3+ seats

## Core URLs

- [Home](https://bxscribe.com/): product overview and live note workflow
- [Pricing](https://bxscribe.com/pricing): plans, billing intervals, role-based tiers
- [For agencies](https://bxscribe.com/agencies): seat-based ABA team workspace
- [Fieldwork tracker](https://bxscribe.com/fieldwork): free BCBA and BCaBA fieldwork hour tracker with period summaries and monthly verification PDFs
- [Study tools](https://bxscribe.com/study): RBT, BCaBA, BCBA exam prep
- [Free ABA tools](https://bxscribe.com/tools): CPT lookup, unit calculator, fieldwork tracker, templates, answers, glossary, and study tools
- [Resources](https://bxscribe.com/resources): clinical, billing, and compliance guides
- [Templates](https://bxscribe.com/templates): ABA documentation templates for session notes, SOAP notes, CPT 97153, BIPs, FBAs, progress reports, supervision, fieldwork, and study plans
- [Answers](https://bxscribe.com/answers): concise ABA documentation answers for session notes, CPT codes, HIPAA, fieldwork, audits, and study prep
- [Solutions](https://bxscribe.com/solutions): problem-specific ABA documentation pages (audits, SOAP, 97155, 97156, telehealth), each clinically reviewed
- [CPT codes](https://bxscribe.com/cpt): documentation reference for every ABA Category I CPT code (97151-97158)
- [CPT lookup tool](https://bxscribe.com/tools/cpt-code-lookup): free ABA CPT code search and 15-minute unit calculator
- [Glossary](https://bxscribe.com/glossary): plain-language ABA term definitions
- [Compare](https://bxscribe.com/compare): how BxScribe differs from other ABA tools
- [About](https://bxscribe.com/about): team, mission, and clinical authority
- [Clinical review board](https://bxscribe.com/clinical-review-board): how BxScribe reviews documentation content against BACB, CPT, HIPAA, and Medicaid standards
- [Contact](https://bxscribe.com/contact): support and BAA requests

## Most-cited resources

- [BCBA exam prep: the 8-week study plan](https://bxscribe.com/resources/bcba-exam-prep-study-plan): Passing the BCBA exam is about calibration, not hours. Here is an 8-week plan that maps directly to the current BACB Test Content Outline.
- [RBT competency assessment — checklist and tips](https://bxscribe.com/resources/rbt-competency-assessment): The competency assessment is usually the easier half of becoming an RBT — if you know exactly what you're being scored on.
- [RBT session note template: examples, checklist, and common mistakes](https://bxscribe.com/resources/rbt-session-note-template): A strong RBT note is not a long narrative. It is a repeatable structure that captures what happened, what data changed, and what the supervising clinician needs to review.
- [BCBA fieldwork hours: restricted vs unrestricted examples](https://bxscribe.com/resources/bcba-fieldwork-restricted-unrestricted-hours): Restricted and unrestricted hours are where many BCBA trainees lose confidence. This guide explains the difference, what to document, and what to review with your supervisor.
- [ABA SOAP note template: examples for session notes and supervision](https://bxscribe.com/resources/aba-soap-note-template): SOAP notes work well for ABA when the format stays data-led: what was reported, what was measured, what it means clinically, and what happens next.
- [CPT 97153 session note example: documentation checklist for ABA](https://bxscribe.com/resources/cpt-97153-session-note-example): CPT 97153 notes need to prove direct treatment by protocol: who delivered it, what targets were run, what data changed, and how the time supports the units billed.
- [CPT 97154 group ABA session note template: individual notes for group treatment](https://bxscribe.com/resources/cpt-97154-group-aba-session-note-template): A 97154 group note cannot read like one shared attendance record. Each client needs documentation that connects the group service to their own goals, data, response, and units.
- [CPT 97155 protocol modification note example for ABA](https://bxscribe.com/resources/cpt-97155-protocol-modification-note-example): 97155 notes need to prove clinical decision-making: what data was reviewed, what protocol changed, why it changed, and how the client or technician responded.

## ABA documentation templates

- [Template library](https://bxscribe.com/templates): canonical hub for ABA documentation templates
- [Session note templates](https://bxscribe.com/templates#session-notes): ABA session note, RBT, SOAP, and CPT 97153 note templates
- [ABA session note template](https://bxscribe.com/resources/aba-session-notes-guide): A payer-ready structure for ABA session notes with service details, goals, objective data, interventions, client response, and next-session planning.
- [RBT session note template](https://bxscribe.com/resources/rbt-session-note-template): A role-specific prompt set that keeps RBT notes objective, data-led, and within technician scope while preserving BCBA review items.
- [ABA SOAP note template](https://bxscribe.com/resources/aba-soap-note-template): A SOAP structure adapted for ABA: subjective context, objective session data, provider-scope-appropriate assessment, and next-step planning.
- [ABA documentation audit checklist](https://bxscribe.com/resources/aba-documentation-audit-checklist): A payer-record checklist for session notes, authorization dates, treatment plans, CPT units, supervision records, signatures, and cloned-language review.
- [CPT 97153 session note template](https://bxscribe.com/resources/cpt-97153-session-note-example): A direct-treatment-by-protocol note structure that reconciles provider, session time, 15-minute units, treatment targets, procedures, and objective response.
- [CPT 97154 group ABA session note template](https://bxscribe.com/resources/cpt-97154-group-aba-session-note-template): A group adaptive behavior treatment note structure for per-client documentation, group composition, individual response data, unit math, and 97154 vs 97158 checks.
- [Caregiver training note template](https://bxscribe.com/resources/cpt-97156-caregiver-training-note-template): A CPT 97156 caregiver-training template for modeling, caregiver practice, feedback, barriers, generalization, unit math, and follow-up planning.
- [CPT 97157 multiple-family caregiver training note template](https://bxscribe.com/resources/cpt-97157-multiple-family-caregiver-training-note-template): A multiple-family caregiver group note structure for per-family records, no-patient-present checks, training agenda, caregiver participation, unit math, and 97157 vs 97156 review.
- [Protocol modification note template](https://bxscribe.com/resources/cpt-97155-protocol-modification-note-example): A CPT 97155 note template that separates clinical decision-making, data review, protocol changes, technician direction, and downcoding checks from ordinary direct treatment.
- [Behavior intervention plan template](https://bxscribe.com/resources/behavior-intervention-plan-template): A BIP structure for operational definitions, prevention strategies, replacement skills, reinforcement, crisis safeguards, and progress monitoring.

## Free ABA tools

- [Tool library](https://bxscribe.com/tools): canonical hub for BxScribe's free ABA tools
- [Documentation tools](https://bxscribe.com/tools#documentation): AI note drafting, ABA documentation templates, and note examples
- [Billing tools](https://bxscribe.com/tools#billing): CPT lookup, unit calculator, and 97153 documentation checks
- [Fieldwork tools](https://bxscribe.com/tools#fieldwork): BCBA and BCaBA fieldwork tracking and verification workflow
- [ABA session note generator](https://bxscribe.com/): Turn structured session details into a clinician-reviewed ABA note draft with objective data, interventions, client response, and next-session planning.
- [ABA documentation template library](https://bxscribe.com/templates): Browse session note, RBT note, SOAP note, CPT 97153, BIP, FBA, progress-report, supervision, fieldwork, and BCBA study templates.
- [ABA CPT code lookup and unit calculator](https://bxscribe.com/tools/cpt-code-lookup): Search ABA Category I CPT codes, review documentation requirements, and calculate 15-minute billing units for timed services.
- [CPT 97153 session note example](https://bxscribe.com/resources/cpt-97153-session-note-example): Use a direct-treatment-by-protocol note example to check time, units, goals, procedures, objective response, and denial-risk language.
- [BCBA fieldwork tracker](https://bxscribe.com/fieldwork): Track supervised and concentrated fieldwork hours, classify restricted and unrestricted activities, monitor period totals, and prepare monthly verification PDFs.
- [BCBA, BCaBA, and RBT study tools](https://bxscribe.com/study): Practice with flashcards, mock exams, rationales, study planning, ethics scenarios, and remediation tied to current BACB content outlines.
- [ABA documentation answer hub](https://bxscribe.com/answers): Get direct answers to common questions about session notes, CPT codes, audit readiness, HIPAA, fieldwork, caregiver training, and study prep.
- [ABA glossary](https://bxscribe.com/glossary): Look up plain-language ABA terms, CPT definitions, compliance concepts, measurement terms, and exam vocabulary.

## Frequently asked

### What is BxScribe?

BxScribe is an AI-powered session note and study platform built specifically for ABA clinicians — RBTs, BCaBAs, and BCBAs. It generates payer-ready session notes from structured inputs, runs similarity guardrails so notes don't read as cloned, and includes flashcards and mock exams aligned to current BACB test content outlines.

### How does BxScribe generate session notes?

You enter structured details — client, note type, session time, setting, goals, ABC data, behaviors, and interventions. BxScribe drafts a clinician-ready narrative with billable points and recommendations, you review and edit, then sign and export to PDF. The clinician of record signs every note; AI does not bill or sign on your behalf.

### How many session notes can I generate?

Free accounts get 10 notes per month and 1 client. Individual plans get 30 notes per month. Pro plans include unlimited notes, unlimited clients, and priority AI assistance. Agency plans scale per seat — 60 notes per seat per month on Starter, unlimited on Agency Pro.

### How does pricing work?

Pricing is role-based — RBTs and BCaBAs/BCBAs have tailored tiers. Individual plans start at $19.99/mo. Pro starts at $34.99/mo for RBTs or $39.99/mo for BCaBAs/BCBAs. Agency Starter is $19.99 per seat per month, Agency Pro is $29.99 per seat per month. Annual billing saves about 20%.

### Is BxScribe HIPAA-aligned?

BxScribe is built with privacy-first practices — encrypted connections, encrypted storage, role-based access controls, and audit logging. We recommend using client initials instead of full names in note bodies. We sign Business Associate Agreements (BAAs) with agencies on request — contact support@bxscribe.com.

### Who is BxScribe for?

BxScribe is built for behavior analysts and behavior technicians: Registered Behavior Technicians (RBTs), Board Certified Assistant Behavior Analysts (BCaBAs), Board Certified Behavior Analysts (BCBAs), and the agencies that employ them. It supports solo clinicians, supervisors, and full agency rollouts.

### What CPT codes does BxScribe support?

Session notes can be tailored to common ABA CPT codes including 97151 (assessment), 97153 (direct treatment by protocol), 97155 (protocol modification), 97156 (caregiver guidance), and 97158 (group treatment). The note structure surfaces billable points so coding stays accurate.

### Can I use BxScribe to prepare for the BCBA or RBT exam?

Yes. The Study product includes AI flashcards, mock exams, and AI-driven remediation aligned to current BACB test content outlines for RBT, BCaBA, and BCBA candidates. Study plans are duration-based, one-time purchases — separate from the monthly notes subscription.

### Does BxScribe replace my supervisor or clinical judgment?

No. BxScribe drafts notes from the structured details you provide; the clinician of record reviews, edits, and signs every note. Treatment decisions, protocol changes, and supervision live with the BCBA or BCaBA — BxScribe is a documentation accelerator, not a clinical decision-maker.

### How is BxScribe different from CentralReach, Catalyst, or Rethink?

Those are full practice-management EHRs with scheduling, claims, and program books. BxScribe focuses tightly on AI-drafted clinical documentation and exam prep for ABA roles. It is faster to onboard, lower cost, and complementary to a full EHR — many BxScribe users keep their EHR for scheduling and use BxScribe to write the actual notes.

### How do I contact support?

Every Pro seat includes priority in-app support. Free accounts can reach us by email at support@bxscribe.com. Agencies can request a BAA, custom onboarding, or a demo through the same address.

### Can I cancel anytime?

Yes. Subscriptions are managed through Stripe and can be cancelled, downgraded, or upgraded from your billing settings at any time. Annual plans run for the term you purchased; monthly plans cancel at the end of the current billing cycle.


## Direct ABA documentation answers

### What should an ABA session note include?

URL: https://bxscribe.com/answers#what-should-an-aba-session-note-include

An ABA session note should identify the client, service date, setting, provider, CPT or service type, session duration, goals addressed, objective data, interventions used, client response, progress or barriers, caregiver or supervisor involvement when relevant, and the clinician's signature. Payer rules can add requirements, so the note should match the authorization and local billing policy.

Related: [Session notes guide](https://bxscribe.com/resources/aba-session-notes-guide), [SOAP note workflow](https://bxscribe.com/solutions/aba-soap-note-software)

### What free ABA tools does BxScribe offer?

URL: https://bxscribe.com/answers#what-free-aba-tools-does-bxscribe-offer

BxScribe offers free ABA tools for CPT code lookup, 15-minute billing-unit calculation, BCBA fieldwork tracking, documentation templates, direct documentation answers, glossary lookup, study practice, and a free tier for AI session note drafting.

Related: [Free ABA tools](https://bxscribe.com/tools), [ABA template library](https://bxscribe.com/templates)

### How can RBTs write better session notes faster?

URL: https://bxscribe.com/answers#how-can-rbts-write-better-session-notes-faster

RBT notes are faster when the session is captured in structured fields first: goals, behaviors, interventions, prompts, reinforcement, ABC data, and caregiver context. The final note should stay objective and within RBT scope, with supervisor review when required by the agency or payer.

Related: [BxScribe for RBTs](https://bxscribe.com/for/rbt), [RBT note template](https://bxscribe.com/resources/rbt-session-note-template)

### What is an RBT session note template?

URL: https://bxscribe.com/answers#what-is-an-rbt-session-note-template

An RBT session note template is a structured prompt set for documenting service details, goals addressed, interventions implemented, objective data, client response, caregiver or supervisor involvement, and review items for the BCBA. The template can repeat, but the final narrative should be session-specific and within RBT scope.

Related: [RBT session note template](https://bxscribe.com/resources/rbt-session-note-template), [BxScribe for RBTs](https://bxscribe.com/for/rbt)

### What is an ABA SOAP note template?

URL: https://bxscribe.com/answers#what-is-an-aba-soap-note-template

An ABA SOAP note template organizes documentation into Subjective, Objective, Assessment, and Plan sections. For ABA, the Objective section should include goals addressed, procedures implemented, and measurable client response, while the Assessment and Plan should match the provider's clinical scope and the service billed.

Related: [ABA SOAP note template](https://bxscribe.com/resources/aba-soap-note-template), [SOAP note workflow](https://bxscribe.com/solutions/aba-soap-note-software)

### What makes ABA documentation audit-ready?

URL: https://bxscribe.com/answers#what-makes-aba-documentation-audit-ready

Audit-ready ABA documentation ties each billed service to the active authorization and treatment plan, reconciles time and units, shows medically necessary work, includes objective client or caregiver data, documents provider scope and supervision when relevant, includes signatures, and avoids copied language across sessions.

Related: [ABA documentation audit checklist](https://bxscribe.com/resources/aba-documentation-audit-checklist), [Insurance audit documentation](https://bxscribe.com/solutions/aba-documentation-for-insurance-audits)

### What documents are needed for an ABA audit?

URL: https://bxscribe.com/answers#what-documents-are-needed-for-an-aba-audit

An ABA audit packet commonly includes the payer request, authorization letter, treatment plan, assessment or medical-necessity documentation, progress report, signed session notes for each billed date, data sheets when requested, supervision or protocol-modification notes, caregiver-training records, provider credentials, billing-unit reconciliation, and signatures. The exact packet depends on the payer, state, contract, and service codes reviewed.

Related: [ABA audit checklist](https://bxscribe.com/resources/aba-documentation-audit-checklist), [Medicaid documentation guide](https://bxscribe.com/resources/medicaid-aba-documentation)

### What should a CPT 97151 assessment note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97151-assessment-note-include

A CPT 97151 assessment note or report should include the client, provider, assessment date range, referral question, assessment activities performed, time and units, records reviewed, interviews, direct observations, tools administered, baseline data, scoring or interpretation, clinical findings, medical-necessity rationale, treatment-plan recommendations, and provider signature. Payer policies can add authorization, attachment, and unit rules.

Related: [CPT 97151 assessment report template](https://bxscribe.com/resources/cpt-97151-assessment-report-template), [CPT 97151 reference](https://bxscribe.com/cpt/97151)

### What should a CPT 97152 supporting assessment note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97152-supporting-assessment-note-include

A CPT 97152 supporting assessment note should include the client, date, setting, technician, directing QHP, start and end times, calculated units, assessment purpose, QHP-assigned procedure, face-to-face assessment activity, measurement system, objective data gathered, client response, barriers or invalid data segments, data handoff to the QHP, and signature. It should not make the technician appear to assess independently.

Related: [CPT 97152 supporting assessment template](https://bxscribe.com/resources/cpt-97152-supporting-assessment-note-template), [CPT 97152 reference](https://bxscribe.com/cpt/97152)

### Can technicians perform CPT 97152 assessments independently?

URL: https://bxscribe.com/answers#can-technicians-perform-cpt-97152-assessments-independently

No. CPT 97152 is for behavior identification supporting assessment administered by a technician under the direction of a qualified health care professional. The QHP determines the supplemental assessment support needed, directs the procedure, and interprets findings for the treatment plan or progress report. The technician note should document assigned activity and objective data, not independent clinical conclusions.

Related: [97152 documentation template](https://bxscribe.com/resources/cpt-97152-supporting-assessment-note-template), [97151 assessment report](https://bxscribe.com/resources/cpt-97151-assessment-report-template)

### What should an ABA treatment plan include?

URL: https://bxscribe.com/answers#what-should-an-aba-treatment-plan-include

An ABA treatment plan should include client and authorization details, assessment summary, medical-necessity rationale, measurable goals with baselines and mastery criteria, behavior-reduction plan sections, service intensity, caregiver involvement, data systems, review schedule, transition or discharge criteria, and required signatures. The plan should make the link from assessment findings to requested services easy to follow.

Related: [ABA treatment plan template](https://bxscribe.com/resources/aba-treatment-plan-template), [Treatment plan workflow](https://bxscribe.com/solutions/aba-treatment-plan-software)

### What should an ABA medical necessity letter include?

URL: https://bxscribe.com/answers#what-should-an-aba-medical-necessity-letter-include

An ABA medical necessity letter should identify the client, diagnosis or referral concern, assessment findings, functional impact, requested authorization period, requested services and intensity, treatment goals, caregiver-training needs, supervision or protocol-modification needs, risk of reducing services, supporting attachments, and provider signature. It should summarize the clinical case; the payer form, treatment plan, and state or plan policy still control the final packet.

Related: [ABA medical necessity letter template](https://bxscribe.com/resources/aba-medical-necessity-letter-template), [ABA treatment plan template](https://bxscribe.com/resources/aba-treatment-plan-template)

### What should an ABA discharge summary include?

URL: https://bxscribe.com/answers#what-should-an-aba-discharge-summary-include

An ABA discharge summary should include the client, provider, service dates, discharge date, reason for discharge or transition, services delivered, goal outcomes, behavior-reduction outcomes, caregiver-training status, maintenance or fade plan, safety considerations, referrals or records handoff, follow-up criteria, and signatures. It should show continuity of care, not only that services ended.

Related: [ABA discharge summary template](https://bxscribe.com/resources/aba-discharge-summary-template), [ABA progress report guide](https://bxscribe.com/resources/aba-progress-reports)

### What should a BCBA supervision note include?

URL: https://bxscribe.com/answers#what-should-a-bcba-supervision-note-include

A BCBA supervision note should identify the supervisee or RBT, supervisor, client or case context, date, setting, start and end times, supervision format, whether direct observation occurred, targets or procedures observed, treatment-integrity findings, feedback, modeling or coaching provided, client response relevant to supervision, follow-up tasks, owner, review date, and supervisor signature. It should feed the supervision log, but current BACB guidance and agency policy remain authoritative.

Related: [BCBA supervision note template](https://bxscribe.com/resources/bcba-supervision-note-template), [Supervision documentation workflow](https://bxscribe.com/solutions/bcba-supervision-note-software)

### How do ABA CPT billing units work?

URL: https://bxscribe.com/answers#how-do-aba-cpt-billing-units-work

Most common ABA adaptive behavior service codes use 15-minute units. A 120-minute session on one timed code equals 8 full units, but time split across codes should be calculated separately. Rounding rules, modifiers, and concurrent billing limits vary by payer.

Related: [CPT lookup and unit calculator](https://bxscribe.com/tools/cpt-code-lookup), [ABA billing codes explained](https://bxscribe.com/resources/aba-billing-codes)

### What does CPT 97153 usually document?

URL: https://bxscribe.com/answers#what-does-cpt-97153-usually-document

CPT 97153 usually documents adaptive behavior treatment delivered directly to the client by a technician or qualified provider under the plan of care. The note should connect treatment targets, interventions, objective data, client response, and session duration to the authorized service.

Related: [CPT 97153 reference](https://bxscribe.com/cpt/97153), [97153 note example](https://bxscribe.com/resources/cpt-97153-session-note-example)

### What should a CPT 97153 note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97153-note-include

A CPT 97153 note should include the service date, setting, provider, start and end times, calculated 15-minute units, treatment-plan goals addressed, procedures implemented by protocol, objective client response, barriers or safety concerns, and the provider signature. Payer-specific rounding, modifier, and concurrent-billing rules should be checked before billing.

Related: [CPT 97153 note example](https://bxscribe.com/resources/cpt-97153-session-note-example), [ABA CPT lookup tool](https://bxscribe.com/tools/cpt-code-lookup)

### What should a CPT 97154 group ABA note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97154-group-aba-note-include

A CPT 97154 group ABA note should include the client, date, setting, technician, supervising clinician, start and end times, calculated units, group size or composition without peer PHI, group focus, the client's treatment-plan targets, procedures implemented, objective data, client response, barriers, next step, and signature. Each client in the group needs their own record.

Related: [CPT 97154 group note template](https://bxscribe.com/resources/cpt-97154-group-aba-session-note-template), [CPT 97154 reference](https://bxscribe.com/cpt/97154)

### What does CPT 97155 usually document?

URL: https://bxscribe.com/answers#what-does-cpt-97155-usually-document

CPT 97155 usually documents protocol modification or supervision by a qualified behavior analyst or other authorized clinician. Notes should show clinical analysis, treatment adjustments, direction given, data reviewed, and how the protocol changed or was maintained.

Related: [97155 note example](https://bxscribe.com/resources/cpt-97155-protocol-modification-note-example), [CPT 97155 reference](https://bxscribe.com/cpt/97155), [97155 documentation workflow](https://bxscribe.com/solutions/protocol-modification-notes-cpt-97155)

### What should a CPT 97155 protocol modification note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97155-protocol-modification-note-include

A CPT 97155 protocol modification note should include the provider, date, start and end times, calculated units, data reviewed, current protocol or treatment component, clinical rationale, specific protocol modification or direction provided, technician feedback when applicable, client response to the change, follow-up monitoring plan, and provider signature.

Related: [97155 protocol modification note example](https://bxscribe.com/resources/cpt-97155-protocol-modification-note-example), [CPT 97155 reference](https://bxscribe.com/cpt/97155)

### How should caregiver training notes be written?

URL: https://bxscribe.com/answers#how-should-caregiver-training-notes-be-written

Caregiver training notes should identify the caregiver trained, the goals or procedures taught, modeling or coaching provided, caregiver response, barriers, follow-up plan, and the connection to the client's treatment plan. The note should focus on skill transfer, not general conversation.

Related: [CPT 97156 caregiver note template](https://bxscribe.com/resources/cpt-97156-caregiver-training-note-template), [CPT 97156 reference](https://bxscribe.com/cpt/97156), [Caregiver training notes](https://bxscribe.com/solutions/caregiver-training-note-software)

### What should a CPT 97156 caregiver training note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97156-caregiver-training-note-include

A CPT 97156 caregiver training note should include the caregiver trained, date, setting, provider, start and end times, calculated units, treatment-plan goal, skill taught, training method, caregiver practice or performance, barriers, between-session plan, next training focus, and provider signature. The note should prove caregiver skill transfer, not only a general progress discussion.

Related: [97156 caregiver note template](https://bxscribe.com/resources/cpt-97156-caregiver-training-note-template), [CPT 97156 reference](https://bxscribe.com/cpt/97156)

### What should a CPT 97157 multiple-family caregiver note include?

URL: https://bxscribe.com/answers#what-should-a-cpt-97157-multiple-family-note-include

A CPT 97157 multiple-family caregiver note should include the client or family record, date, setting, QHP provider, caregivers trained, confirmation that patients were not present, start and end times, calculated units, group topic, treatment-plan goal or caregiver skill taught, training method, caregiver participation or practice, questions or barriers, PHI-safe group context, follow-up plan, and signature. Payer rules can add authorization and attendance requirements.

Related: [CPT 97157 caregiver group template](https://bxscribe.com/resources/cpt-97157-multiple-family-caregiver-training-note-template), [CPT 97157 reference](https://bxscribe.com/cpt/97157)

### How is CPT 97157 different from CPT 97156?

URL: https://bxscribe.com/answers#how-is-cpt-97157-different-from-97156

CPT 97156 is family adaptive behavior treatment guidance for one family and may occur with or without the patient present. CPT 97157 is multiple-family group adaptive behavior treatment guidance, delivered by a qualified clinician without the patients present. Each family still needs documentation tied to that client's treatment plan, caregiver participation, and follow-up.

Related: [CPT 97157 caregiver group template](https://bxscribe.com/resources/cpt-97157-multiple-family-caregiver-training-note-template), [CPT 97156 caregiver note template](https://bxscribe.com/resources/cpt-97156-caregiver-training-note-template), [CPT 97157 reference](https://bxscribe.com/cpt/97157)

### Is BxScribe HIPAA compliant?

URL: https://bxscribe.com/answers#is-bxscribe-hipaa-compliant

BxScribe is built with HIPAA-aligned safeguards including encrypted connections, encrypted storage, role-based access, and audit logging. Agencies can request a Business Associate Agreement. Clinicians should still follow their organization's minimum necessary and documentation policies.

Related: [HIPAA for ABA documentation](https://bxscribe.com/resources/hipaa-aba-documentation), [Privacy policy](https://bxscribe.com/privacy)

### How can clinicians avoid cloned or repetitive ABA notes?

URL: https://bxscribe.com/answers#how-can-clinicians-avoid-cloned-or-repetitive-aba-notes

Clinicians can avoid cloned notes by entering session-specific data, documenting actual client response, varying the narrative based on what happened, and reviewing similarity before signing. Reused templates are helpful, but each final note should reflect the unique service delivered.

Related: [Audit-ready notes](https://bxscribe.com/solutions/aba-documentation-for-insurance-audits), [Session note guide](https://bxscribe.com/resources/aba-session-notes-guide)

### How should BCBA fieldwork hours be tracked?

URL: https://bxscribe.com/answers#how-should-bcba-fieldwork-hours-be-tracked

BCBA and BCaBA fieldwork should be tracked by date, activity, restricted or unrestricted category, supervision contact, observation status, and verification period. A good tracker keeps cumulative totals visible and prepares monthly verification forms for supervisor review.

Related: [Free fieldwork tracker](https://bxscribe.com/fieldwork), [Restricted vs unrestricted guide](https://bxscribe.com/resources/bcba-fieldwork-restricted-unrestricted-hours)

### What counts as unrestricted BCBA fieldwork?

URL: https://bxscribe.com/answers#what-counts-as-unrestricted-bcba-fieldwork

Unrestricted BCBA fieldwork usually includes supervised behavior-analytic work beyond direct implementation: assessment, data analysis, treatment design, graph review, caregiver-training preparation, supervision planning, progress summaries, and clinical recommendation development. The supervisor should confirm the category before the monthly verification form is signed.

Related: [Fieldwork hours guide](https://bxscribe.com/resources/bcba-fieldwork-restricted-unrestricted-hours), [Free fieldwork tracker](https://bxscribe.com/fieldwork)

### What is the best way to study for the BCBA exam?

URL: https://bxscribe.com/answers#what-is-the-best-way-to-study-for-the-bcba-exam

A strong BCBA exam plan maps study sessions to the current BACB Test Content Outline, rotates weak domains, uses spaced repetition, and reviews rationales after every mock exam. The goal is not only getting answers right, but explaining why the distractors are wrong.

Related: [RBT, BCaBA, and BCBA study tools](https://bxscribe.com/study), [8-week BCBA study plan](https://bxscribe.com/resources/bcba-exam-prep-study-plan)

### What is the difference between BxScribe and an EHR?

URL: https://bxscribe.com/answers#what-is-the-difference-between-bxscribe-and-an-ehr

BxScribe is focused on ABA documentation, study tools, fieldwork tracking, and payer-ready note drafting. An EHR or practice-management system may handle scheduling, full billing operations, authorizations, and enterprise records. Many teams use BxScribe alongside an existing EHR.

Related: [Compare ABA tools](https://bxscribe.com/compare), [ABA documentation solutions](https://bxscribe.com/solutions)

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