Applied Behavior Analysis Billing Services - Medical Billing Outsourcing Service

Enhance Your Revenue Cycle with ABA Billing Specialists

We specialize in providing comprehensive ABA billing services that allow you to focus on what matters most – your patients. Our expert team understands the unique challenges and intricacies of dermatology billing and is committed to improving your revenue cycle while ensuring compliance and accuracy in every step.

Verify Coverage

Always verify the patient's insurance coverage before starting services. This includes checking if ABA therapy is covered, understanding the authorization process, and confirming in-network providers.

Pre-Authorization

Many insurance plans require pre-authorization for ABA services. Make sure to obtain this before starting therapy and keep track of expiration dates.

Stay Updated on Plan Changes

Insurance policies can change, so it's important to stay updated on any new billing rules or changes to reimbursement rates

Clear Time Tracking

Record the exact amount of time spent on each service (direct therapy, supervision, parent training) to match the billing codes used. Many insurance companies require precise time tracking.

ABA Billing Best Practices

When it comes to ABA (Applied Behavior Analysis) billing, following best practices ensures that billing is accurate, compliant, and efficient. Here are some essential ABA billing best practices to consider:

Our Denials and Appeals Process

Claim denials are a common challenge in ABA. Our process:

Understanding the Denial Reason: Denials could be due to incorrect coding, insufficient documentation, or missing information. We thoroughly review the insurance company’s reason for denial and address it appropriately through various modes of response.

Appeal Process: If the claim is denied based on coverage or medical necessity, an appeal may be necessary. We review the insurance company’s appeal process and act quickly to submit it and reduce potential delays or timely submissions.

How we can help -

Comprehensive coding and claim submission

Insurance verification and prior authorization

Denial management and appeals

Contracting and Credentialing

Patient statements and collections

We specialize in ensuring your practice receives timely reimbursements while remaining fully compliant with industry standards and payer requirements

Frequently asked questions

Check out our FAQ section to find quick solutions.

What services do you offer?

We offer full-service medical billing, including coding, claim submission, insurance verification, patient billing, accounts receivable management, and denial management. We also assist with prior authorizations and appeals to ensure timely reimbursement

What experience do you have in medical billing for my specialty?

We have over 20 years of billing in all the specialties we have listed on our site!

Are your billers trained?

Yes! All our billers are experts in the field. With many years of experience and we ensure to only assign the best biller for your specialty. We undergo quarterly trainings and are all certified!

What technology do you use for billing and claims management?

We only use your medical billing software for complete transparency in our performance and to safeguard your practice with ethical and accurate standards.

How do you communicate with your clients?

We provide regular updates through email or phone calls to keep you informed on your billing status. Additionally, we use an online chat system such as Google or Teams for daily needs. We also schedule monthly calls, if needed!

What is your process for onboarding new clients?

Our onboarding process is simple and efficient. After an initial consultation, we gather necessary documents, set up your accounts in your system and portals. We aim to have everything up and running within 1-2 weeks.

What sets your billing company apart from others?

We specialize in personalized service for each client, ensuring that your practice’s unique needs are met. Our team consists of highly trained professionals with expertise in a variety of specialties, and we offer a high level of transparency and communication. We work to maximize your revenue while ensuring accuracy and compliance.

How do you stay updated on the latest billing codes and regulations?

Our team regularly attends continuing education courses, webinars, and conferences. We also have access to coding and regulatory updates from organizations like the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).

What is your fee structure?

We offer a transparent pricing model, with fees based on a percentage of collections. The exact percentage depends on the volume of claims and the complexity of your practice’s billing. We can provide a customized quote based on your needs.

How do you handle claim denials and rejections?

We have a dedicated team that handles claim denials and rejections. When a claim is denied, we review the reason, correct any errors, and resubmit the claim. If necessary, we also handle the appeals process to ensure that your practice receives the reimbursement it's entitled to.

How do you ensure compliance with HIPAA and other regulations?

We are fully HIPAA-compliant and follow all federal and state regulations regarding patient data privacy. Our staff undergoes regular training on HIPAA standards, and we use secure systems to manage and transmit patient information.

Can you help with coding and billing audits?

Yes, we offer coding and billing audits to ensure that all your claims are submitted accurately and in compliance with industry regulations. Our audits help identify any discrepancies or potential risks, so you can address them proactively.

How do you handle patient billing inquiries?

Based on the Tier plan you select, we offer patient support services for billing inquiries, ensuring that patients have a clear understanding of their charges. Our customer service team is available to answer any questions patients may have regarding their statements, insurance coverage, or payment plans.

Do you offer any reporting or insights into our financial performance?

Yes, we provide regular reports on your practice’s financial performance, including revenue cycles, collections, and any outstanding claims. You will have access to real-time data and in-depth analysis to help you make informed decisions about your practice.