What Expectations Should You Have For ABA Insurance Outsourcing Services? Making the decision to outsource billing and other insurance-related services opens the door for more time for you to manage your patients’ care and needs. It can often alleviate many of the frustrations you have as an ABA provider. Yet, it helps to know what […]
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 […]
Applied Behavioral Analysis “ABA” billing and coding has changed significantly in the last ten years. The initial billing codes were undefined, leading to unreliable coverage and reimbursement. To create a standardized set of ABA CPT codes, the American Medical Association (AMA) established temporary Category III codes that were effective mid-2014. The Steering Committee for the […]
MUEs can impact daily billing for ABA therapy. ABA providers should be familiar with the rules and regulations of CMS and NCCI.
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.
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.
Coordination of Benefits for ABA therapy. One more step in understanding how to get paid.
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 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 Agreements, also known as SCAs, are contracts between an insurance company and an out-of-network provider.