Many steps are involved in the revenue cycle management process. Posting payments and reconciling accounts is necessary to ensure that a provider is receiving all payments to which they are entitled.
Need Health Insurance?
Have you or your patients struggled with finding or maintaining health insurance? Many new options are available currently for coverage between COBRA, marketplace and Medicaid.
What is Coordination of Benefits and Why is it Important?
Coordination of Benefits for ABA therapy. One more step in understanding how to get paid.
What is New with TRICARE for ABA in 2021?
TRICARE has several changes in store for ABA patients and providers in 2021. Review this for more insight.
Writing ABA Treatment Plans for Medical Necessity
Applied behavioral analysis or ABA therapy is considered medically necessary by most, but certainly not all, insurance companies or plans. Payers require that services they approve and reimburse are medically necessary, and providers must have documentation to justify these services. Review these guidelines to help prepare treatment plans.
Tips for Improving Patient Collections
It is the beginning of the year and typically that means your patients are accumulating deductibles and out-of-pocket costs. That means it’s the perfect time to improve your patient collections! Here are a few easy things to do to collect ABA therapy patient balances.
Contracting and Credentialing for Beginners
Contracting and Credentialing are the first steps in becoming in-network with a payer. Let Missing Piece Billing and Consulting help your behavioral health or ABA therapy practice start things off correctly with the insurance companies.
Single Case Agreement 101
Single Case Agreements, also known as SCAs, are contracts between an insurance company and an out-of-network provider.
Claims: Rejections vs Denials
Submitting healthcare claims is a complex and ever-changing process as technology and regulations can sometimes seem like a moving target. Understanding claims processing is an evolving skill, but learning the basic language is the first step to successfully navigating this landscape. One of the keys is knowing the difference between rejected and denied claims. Claims […]
Funding for Children with Autism
Need help with funding for ABA or other related services for a child with autism? Here are tips for providers and parents.