Why Outsource

The insurance industry is constantly changing the ABA billing and coding rules, reimbursement rates, and authorization requirements, making reimbursement for ABA therapy services a constant struggle. New delivery models, such as online telehealth services, create additional complexity around this process. Handling billing internally is a distraction to ABA providers who want to focus their time and attention on therapy for their patients. All these elements make ABA billing complex, requiring expert knowledge and expensive resources to implement correctly in-house.

How outsourcing these complex processes to an ABA billing services specialist helps you:

  • New ABA therapists don’t have to learn all the ins and outs of ABA billing
  • Allows new and experienced ABA therapists to spend more time focusing on their patients’ therapy by saving them time spent on processing ABA billing
  • Maximizes the reimbursement you receive for your services while shortening the time to collect
  • You get a turn-key solution with software tools, payer knowledge, and expertise in all revenue cycle functions
  • You avoid the payroll costs of an expensive billing department and pay for services only when the insurance company pays you
  • Avoid billing errors that may arise due to a lack of internal expertise that raises the cost of in-house ABA billing
  • As you expand, the outsourced partner expands with you

Missing Piece has been managing the revenue cycle for ABA and other behavioral health providers since 2009. We collect the maximum reimbursement available and proactively follow up with the insurance company on all payment issues. Our clients are located across the United States, ensuring we have ABA billing and reimbursement expertise in each state’s Medicaid, commercial insurance, and other government plans. Our experts in each area of the revenue cycle, including eligibility, contracting, authorization, appeals, and patient billing, take the entire burden of the revenue cycle off your hands. 

Whether you are moving from in-house billing to an outsourced billing partner, changing your outsourced billing partner, or starting your practice, outsource your revenue cycle to the ABA billing and ABA consulting services experts at Missing Piece to gain access to all of our knowledge and resources.

Contact us to find out more about how we can help you.

What Clients Say..

Like most small businesses, our success is predicated upon personal relationships and a consistent revenue stream.  Since opening, Missing Piece Billing has been a great partner and an essential element of both.  They guided us through the billing and authorization process and took the lead on contracting and patient invoicing, allowing us to focus on serving our families.  As our company has grown from 1 to 100, I can say with great confidence that we would not be where we are today without them.

Clinton Paul, President

Engaging Minds Autism Services

Indiana Provider

Missing piece billing has been great to work with. They have been our billing partner for many years now. They have wonderful staff that is very easy to work with, they are helpful and always follow through to help on any requests we have.


Specialized Autism Consultant

Massachusetts Provider

Missing Piece has been providing billing services to Lighthouse Autism Center from 2012, when we first opened our doors, to present day.  They are not just a service provider, but a true “partner” who has contributed to our success over the years.  We highly recommend Missing Piece to those who wish to take their organizations to the next level.

Gregg & Sandy Maggioli, Founders

Lighthouse Autism Center

Indiana & Michigan Provider

Missing Piece delivers. Your problems are solved before you even notice, and you benefit from knowledge gained by Missing Piece via other clients’ problems even before they are yours to suffer. They are ahead of the game at every turn, be it denials for improperly reviewed claims, contracting issues, or auth utilization, they have you covered. We could not replace their services with ten full time staffers, and they cost far less than that each month.

Jason Shaw, BCBA, President & CEO

Child’s Play Plus

Indiana Provider

Since starting Circle City ABA, Missing Piece has been a valuable part of our organization’s growth. The bright team at Missing Piece provides insight and clarity in navigating the complex world of ABA insurance and creates confidence for our company. We highly recommend Missing Piece and the valuable partnership they bring to their customers.

Jennifer Lanham, M.A., BCBA, President

Circle City ABA

Indiana Provider

Partnering with Missing Piece to handle our insurance and billing needs came at the perfect time for our organization.  Payment and issues with claims consumed a large portion of our week.  Once we started working with the team at Missing Piece, we experienced faster turnaround with payment, billing and authorizations were streamlined, and credentialing couldn’t be easier.  Their dedicated team is always there to support our business and has given us back the time to focus on patient care.

Kelly Mcguire, Director of Operations

The Bedrock Clinic & Research Center, Inc.

New Jersey Provider

We have used Missing Piece Billing and Consulting for many years and are very satisfied with their services and support. Their team is knowledgeable and professional and have been wonderful to work with. We trust their expertise and would highly recommend them for all your ABA billing needs.

Libby Caswell, MS., BCBA, Executive Director

Disability and Autism Services of Indiana

Indiana Provider

When we began the process to become a Medicaid and insurance provider, a friend advised us to call Missing Piece for help.  As it turns out, that was the best piece of advice we got in relation to this journey.  The folks at Missing Piece have been there every step of the way, providing us with guidance, support, and taking many hours of work onto their workload.  We are so grateful!

Tami Burt

Executive Director

The Bridge of Georgia