Author: Ethan Sheckler

Staff turnover is a prevalent challenge across a number of industries, and the healthcare sector is no exception. For autism therapy providers, the repercussions of high turnover rates are especially significant, being that it is such a specialized industry. One of the most critical areas affected by frequent staff changes is credentialing — a fundamental […]

Autism Spectrum Disorder (ASD) represents a complex developmental condition that involves persistent challenges in social interaction, speech, and nonverbal communication, which can be accompanied by restrictive behaviors. The care and therapeutic interventions for individuals with ASD require a tailored approach, one that often includes Applied Behavior Analysis (ABA) therapy, among other services. For many families, […]

Over the past 20 years, all U.S. states have adopted legislation that compels health insurance providers to cover treatments and services related to the care of autistic children. This encompasses a wide range of services, from physical and behavioral healthcare to various therapies like speech, occupational, and physical therapy, in addition to applied behavioral analysis […]

The Resource-Based Relative Value Scale (RBRVS) represents the foundational payment model utilized by the Centers for Medicare & Medicaid Services (CMS) and the majority of other payers. While still new to ABA therapy services, this system is rooted in the philosophy that reimbursement should align with the underlying costs of providing such services. The RBRVS […]

Despite recent developments in the healthcare industry that now ensure that ABA therapy is covered by medical insurance, it can still be challenging for ABA practitioners to claim for their services. It’s crucial to bill the correct ABA codes based on the delivered service and use the correct modifiers to ensure a one-to-one match with […]