Client Impact: $500,000 in Paid Claims | Resolution Time: 4 MonthsIndustry Impact: Statewide System Fix for All ABA Medicaid Providers The ChallengeIn Indiana, ABA providers faced a critical billing disruption when CPT 0373T—a Category III code essential for adaptive behavior treatment with protocol modification—was excluded from Indiana Medicaid’s provider-to-procedure code linkage system. This oversight resulted […]
On the Missing Piece Blog, you can find everything you need to know about outsourcing billing services for ABA therapy.
Missing Piece has over 13 years of experience in ABA insurance billing services. Our blog is filled to the brim with essential ABA insurance billing information, such as current billing codes for occupational therapy, how to outsource medical billing, how to claim for an ABA treatment plan, and more.
Whether you want to know about the history of ABA therapy or you’re more interested in the future of medical billing in the industry, our blog has everything you need. You can also listen to the Missing Piece Podcast, one of the best ABA podcasts, for up-to-date information for anyone with an interest in the industry.
Read our most recent blogs below.
Case Study: Bridging the Gap Between Blue Cross Blue Shield of Texas and Blue Cross Blue Shield of South Carolina
Client Impact: $350,000 in Paid Claims | Resolution Time: 1 year and 35 Days The ChallengeA provider partnered with Missing Piece ABA Billing experienced claim denials from Blue Cross Blue Shield of Texas (BCBS TX) for CPT 97153, an essential ABA therapy code. While BCBS TX requires specific modifiers on these claims, all submissions were […]
Navigating State-Specific Regulations for Behavioral Health Billing
Billing for behavioral health services is complex and time-consuming. A major factor that influences the intricacies of behavioral health medical billing is the range of state-specific regulations that govern Medicaid, licensure, documentation, and billing codes. Staying compliant with these diverse and changing rules is essential to avoid denied claims, legal risks, and underpayment. Let’s take […]
Key Metrics for Behavioral Health Billing
Running a successful behavioral health practice involves much more than providing excellent care to your clients. Behind every therapy session and treatment plan lies a complex revenue cycle management process that directly impacts your practice’s financial health. For behavioral health providers, especially those offering ABA therapy services, understanding and tracking key billing metrics is extremely […]
What is Balance Billing, and How Does it Affect Behavioral Health Services?
Balance billing is a financial hurdle that often surprises patients and complicates operations for healthcare providers, quickly turning a positive healthcare experience into a stressful financial puzzle. It can be an extremely frustrating process for patients and practices, especially within behavioral health services, largely due to misconceptions about how it works. This guide explains what […]
Telehealth Trends for Behavioral Health in 2025
Technology and innovation have been the driving forces behind improvements in healthcare for decades, improving diagnostic accuracy, treatment methods, patient outcomes, and access to care worldwide. From the development of advanced diagnostic and treatment tools to the rise of telemedicine platforms that help patients connect with healthcare providers remotely, technological advancements have transformed nearly every […]
How to know when it’s time to consider outsourcing revenue cycle management
Managing your revenue cycle effectively is vital for any behavioral health practice, but knowing when to consider outside help can be challenging. As practices grow and the healthcare landscape becomes increasingly complex, many providers find themselves at a crossroads: continue handling revenue cycle management (RCM) in-house or partner with specialized experts? This guide will discuss […]
How to Maintain Therapeutic Progress in Telehealth ABA
The increasing use of telehealth in ABA therapy has transformed the behavioral analysis landscape. While in-person therapy sessions remain the cornerstone for most clients, virtual ABA therapy has opened the door for underserved and geographically distant communities. Telehealth provides a flexible and accessible alternative to traditional in-person sessions. However, the virtual format of telehealth ABA […]
Behavioral Health Billing: How to Manage Private Pay vs. Insurance Reimbursement
Whether you’re just starting your behavioral health practice or reevaluating your reimbursement processes, choosing between private pay and insurance is critical. The decision will impact your financial operations and the accessibility of your services. With that in mind, let’s explore these behavioral health medical billing business models for ABA therapy and how to choose the […]
Strategies for Engaging Young Children in Telehealth ABA Sessions
Keeping young children engaged throughout a face-to-face ABA therapy session can be challenging, which is exacerbated when implementing telehealth ABA therapy. Many behavioral health practitioners use telehealth services to provide ABA services, but it has its own hurdles and benefits. Is it possible to keep a young child engaged within the context of virtual health […]