Single Case Agreements, also known as SCAs, are contracts between an insurance company and an out-of-network provider.
Category: ABA Billing
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 […]
HIPAA and Confidentiality for ABA and Behavioral Health Providers
All healthcare providers must be very familiar with the basics of HIPAA and state confidentiality regulations, as well as the requirements of their certification or licensure regarding confidentiality. In addition, as a practice, a comprehensive HIPAA analysis should take place regularly to ensure all required safeguards have been put in place to minimize risks.
Expectations When Outsourcing ABA Insurance and Billing
When starting an ABA therapy practice or when looking to improve your existing practice, one of the most important considerations is ABA insurance and billing. You’ll need to investigate the pros and cons of in-house billing vs outsourcing and compare the various medical billing outsourcing companies at your service. Read on to discover the three […]
Obtaining ABA Authorization | Your Missing Piece
Guide To Obtaining ABA Authorization Whether you are an ABA provider that is in-network with an insurer or out-of-network, authorization for therapy is essential. Insurance companies require ABA authorization before they will reimburse providers for the therapy they deliver to the patient. Authorization may be a requirement, but it is not always a simple, straightforward process. Missing […]
ABA Therapy Billing Codes
Treatment for autism with ABA therapy (Applied Behavioral Analysis therapy) has come a long way. The billing and coding have also changed significantly in the last ten years. The initial medical billing codes were undefined, leading to unreliable coverage and reimbursement. To create a standardized set of ABA CPT codes, the American Medical Association (AMA) […]
Understanding CMS, NCCI, and MUEs, And How they Pertain to ABA Billing
MUEs can impact daily billing for ABA therapy. ABA providers should be familiar with the rules and regulations of CMS and NCCI.
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 is Coordination of Benefits and Why is it Important?
Coordination of Benefits for ABA therapy. One more step in understanding how to get paid.
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.