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Clinical documentation

Telehealth ABA session note software

Draft telehealth session notes that document modality, platform, participant location, and measurable response.

Who it's for: RBTs, BCaBAs, and BCBAs delivering ABA services by telehealth.

The problem

Telehealth notes carry extra documentation weight

A telehealth ABA note has to do everything an in-person note does and document the modality on top of it: that the service was delivered remotely, the platform used, where the client and provider each were, and that the service was still effective in that format.

Payer rules for telehealth ABA vary by state and contract and change often. A note that doesn't make the modality and its specifics explicit is an easy denial.

How it works

How BxScribe drafts a telehealth note

The telehealth note type prompts for the modality details alongside the standard session inputs.

  1. 1

    Record the modality details

    That the session was telehealth, the platform used, and the location of the client and the provider.

  2. 2

    Enter the standard session inputs

    Date, start and end times, CPT code and units, goals addressed, procedures, and the client's measured response — the same elements an in-person note needs.

  3. 3

    Generate the note

    BxScribe drafts a narrative that integrates the modality details with the clinical content reviewers expect.

  4. 4

    Review, sign, and export

    Confirm the note reflects the session accurately, sign as provider of record, and export.

Why it holds up

The credibility this page is built on.

  • Telehealth note type captures modality, platform, and participant locations alongside the standard elements.
  • Same measurable-response structure as in-person notes — telehealth doesn't lower the documentation bar.
  • Similarity scoring flags cloned language across remote sessions.
  • Works for 97153, 97155, and 97156 services delivered by telehealth.

Clinically reviewed by BxScribe Clinical Team

BxScribe's clinical content is reviewed against current BACB ethics and documentation standards, CPT code descriptors, and common commercial and Medicaid payer requirements before publication. Last reviewed May 1, 2026.

Related guides

Go deeper on the documentation.

Glossary

Terms behind this workflow.

FAQ

Questions clinicians ask.

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