Missing Piece Blog

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.

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 […]