Running a successful ABA business requires more than just providing quality services to your clients; it requires a thoughtful approach to healthcare revenue cycle management. Best practices and key performance indicators (KPIs) are essential for any ABA business plan that aims to maximize profits and optimize operations. The importance of best practices and KPIs in […]
Month: May 2024
History of ABA Practices in the United States
Applied Behavior Analysis (ABA) has emerged as an evidence-based therapy for autistic individuals with behavioral and developmental challenges. This article explores the history of applied behavior analysis in the United States, tracing its fascinating origins and development, early applications in behavior modification, important milestones, and the evolving nature of ABA therapy over the years. Before […]
Why is Payment Posting in Medical Billing Important?
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.
What should be included in ABA intake paperwork?
Initiating ABA services can be a cumbersome and time-consuming process for both the patient and the provider. Documenting medical necessity and the need for services andthe proper consents, are a critical part of a patient’s medical record. Most of this information is gathered during the intake process, which starts before the patient’s first appointment.
Handling an ABA Waitlist
It’s estimated that, as of 2023, there are over 33,600 ABA therapists employed in the US. This number sounds high, but when you consider that one in every 44 American children is diagnosed with an Autism Spectrum Disorder (ASD), it’s easy to understand why the majority of ABA therapy practices have a waitlist. As a […]
Understanding CMS, NCCI, and MUEs in ABA Billing
MUEs can impact daily billing for ABA therapy. ABA providers should be familiar with the rules and regulations of CMS and NCCI.
Thinking About Opening Your Own ABA Therapy Business?
Thinking of starting an ABA practice? Here are five pitfalls to avoid.
Guide To Obtaining ABA Authorization
Securing ABA medical insurance authorization is a critical step for ABA providers utilizing both in-network and out-of-network insurance. Insurers mandate ABA therapy authorization as a prerequisite for reimbursing the services provided to patients. Although obtaining authorization is necessary, navigating the process is not always simple. Missing Piece offers expert third-party insights and professional guidance on […]
The Difference Between Rejected & Denied Claims
Submitting healthcare claims is a complex and ever-changing process as new technology and regulations bring changes that make understanding claims processing sometimes feel 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 […]
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.