Even the smallest mistakes in ABA billing can cause problems for families and providers. That’s why many practices that offer ABA services for autism are turning to specialized ABA therapy billing software to streamline their administrative processes and boost their ABA companies’ billing practices. In this blog post, we explore tips for choosing the right […]
Category: Missing Piece News
ABA Business Best Practices and KPIs You Need to Know About
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 […]
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 […]
State Insurance Mandates
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 […]
ABA Audits: Is Your Practice Ready?
Health insurance companies use audits to ensure clinical and billing requirements are met. Even if an ABA provider is taking all the necessary steps to ensure that they are compliant, a health insurance company may still trigger an audit to ensure no issues are found. An audit may be stressful for the owner of an […]
ABA Claim Submission Dos & Don’ts
Prior to 2019, ABA therapy providers encountered significant obstacles in billing as they were forced to make use of generic billing codes to process ABA claims. This stipulation caused a number of issues for ABA practitioners and others involved in ABA claims processing. Although 2019 saw the introduction of specialized CPT I and CPT III […]
How To Reduce The BCBA Insurance Billing Burden
Board-certified behavior analysts (BCBAs) provide guidance and structure to people with conditions such as Autism Spectrum Disorder — often spending a significant amount of time and effort working closely with patients. Adding administrative burdens to their day-to-day work, such as BCBA insurance billing, is not the best use of their time, talent, energy, or focus. […]
Common Misconceptions About ABA Therapy Billing
For ABA practitioners juggling a multitude of responsibilities, the notion that ABA therapy billing is a straightforward task that can easily fit into an already crowded schedule may be prevalent. However, this assumption is misleading, as a number of misconceptions about the billing process often complicate matters, leading to challenges that many practitioners face. We […]
Relative Value Based Reimbursement
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 […]
How-To Guide for Processing ABA Insurance Claims
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 […]