MUEs can impact daily billing for ABA therapy. ABA providers should be familiar with the rules and regulations of CMS and NCCI.
On the Missing Piece Blog, you can find everything you need to know about outsourcing billing services for ABA therapy.
Missing Piece has over 13 years of experience in ABA insurance billing services. Our blog is filled to the brim with essential ABA insurance billing information, such as current billing codes for occupational therapy, how to outsource medical billing, how to claim for an ABA treatment plan, and more.
Whether you want to know about the history of ABA therapy or you’re more interested in the future of medical billing in the industry, our blog has everything you need. You can also listen to the Missing Piece Podcast, one of the best ABA podcasts, for up-to-date information for anyone with an interest in the industry.
Read our most recent blogs below.
Thinking About Opening Your Own ABA Therapy Business?
Thinking of starting an ABA practice? Here are five pitfalls to avoid.
Guide To Obtaining ABA Authorization
Securing ABA medical insurance authorization is a critical step for ABA providers utilizing both in-network and out-of-network insurance. Insurers mandate ABA therapy authorization as a prerequisite for reimbursing the services provided to patients. Although obtaining authorization is necessary, navigating the process is not always simple. Missing Piece offers expert third-party insights and professional guidance on […]
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 […]
Writing ABA Treatment Plans for Medical Necessity
Applied behavioral analysis or ABA therapy is considered medically necessary by most, but certainly not all, insurance companies or plans. Payers require that services they approve and reimburse are medically necessary, and providers must have documentation to justify these services. Review these guidelines to help prepare treatment plans.
ABA Therapy Documentation Best Practices
Medical records are a critical service piece for both patients and providers. These records document the health, well-being, medical needs, plan of care, medical necessity and treatment(s) rendered for a patient during their time with a clinician or therapist. This information is frequently reviewed by internal and external medical professionals, patients, and third-party payers. Failure to document information correctly can not only be detrimental to a patient’s care, but it can greatly impact payment for services.
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. […]