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.
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 […]
The right Practice Management software tools not only help to organize important information and aspects of day-to-day business operations, but the significant amounts of time that are saved can be spent on what’s most important – your patients.