Frequently Asked Questions

What types of ABA providers do you work with?

We work with solo BCBAs, multi-site clinics, growing regional practices, and telehealth- only providers. Whether you’re just launching or managing complex operations, our services are scalable and tailored to meet your exact needs.

Do you offer full-service billing or just claim submission?

Missing Piece is a full-service revenue cycle management partner. We handle everything from eligibility verification and authorizations to claim submission, denial management, payment posting, reconciliation, and reporting. You focus on care; we focus on getting you paid.

Can you take over an existing billing system mid-year or mid-contract?

Yes. Our team is experienced in seamless transitions. We conduct a full audit of your current process and handle all the data migration, payer notifications, and system setup so there’s no disruption in your revenue flow.

Do you provide support for new or start-up ABA practices?

Absolutely. We help new providers with payer enrollment, system setup, and best practices for documentation and billing. Our team becomes an extension of yours, guiding you through every step from credentialing to first payment.

What if I already have an in-house biller—can you still help?

Yes. We often work alongside internal billing or administrative staff. Whether you need overflow support, denial resolution expertise, or end-to-end management, we customize our services to fill the gaps in your current workflow.

How do you improve collections and reduce denials?

Our denial rate is significantly lower than the industry average because we don’t just submit claims, we proactively prevent issues. We verify authorizations, check documentation, use payer-specific rules, and monitor every claim until its paid. If a denial happens, our team works it out immediately and follows through to resolve it.

What is your process for handling denied or rejected claims?

We act fast. Every denial is reviewed by an experienced billing specialist who determines the cause, corrects the claim, and resubmits it. We also track trends and provide insights to reduce future denials. Our approach is both reactive and preventative.

Are your systems and processes HIPAA-compliant?

Absolutely. HIPAA compliance is foundational to everything we do. All data is encrypted in transit and at rest, access is controlled and audited, and our staff undergo regular HIPAA and security training.

Do you provide audit support or compliance checks?

Yes. We offer internal audits, documentation reviews, and help with payer audits. Our compliance team ensures your billing aligns with payer rules and industry regulations, reducing your audit risk and increasing billing confidence.

Do you work within my existing EHR or PM system?

Yes. We work with all major ABA platforms, including CentralReach, AccuPoint, Rethink, Catalyst, AlohaABA, and more. Whether we log into your system or operate independently, our workflow is designed to integrate seamlessly.

Can I access billing reports and dashboards in real time?

Yes. We provide clear, easy-to-read reports tailored to your needs, delivered regularly and available on demand. You’ll always know where your revenue stands.

Do you offer custom reports for tracking revenue and KPIs?

We do. Whether you want aging reports, collections by location, payer mix, denial trends, or profit analysis, we can build it. Our reporting gives you the insights you need to grow.

What’s your onboarding process like? How long does it take to get started?

Our onboarding is thorough but fast. Depending on your setup, we can submit claims within 2–4 weeks. We handle all system audits, credentialing verifications, payer setup, and training to ensure a smooth transition.

Can you take over billing from another company or internal staff?

Yes—we do this often. Our transition process is secure, well-documented, and designed to avoid service or revenue interruptions. We’ll also audit prior work to ensure nothing was missed.

What makes Missing Piece different from other billing companies?

We specialize only in ABA. Our team understands the complexity of RBT/BCBA billing, payer guidelines, documentation compliance, and the clinical needs of your practice. We’re not just billing experts—we’re ABA revenue cycle strategists.

What are the first steps to working with your team?

Let’s schedule a discovery call. We’ll learn about your practice, assess your current billing situation, and recommend the right plan. From there, we’ll kick off onboarding and begin optimizing your revenue cycle right away.

What results should I expect in the first 90 days?

Faster payments, fewer denials, and peace of mind. Most new clients see a significant drop in aging A/R, an increase in clean claim rates, and better insight into their financials within the first three months.

Discover how Missing Piece ABA Billing can transform your ABA practice and boost your bottom line.

Expert support from a team specializing in ABA therapy billing

More time to focus on your
patients—not paperwork

Insights and guidance whether
you're just starting or scaling up