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.
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.
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. […]
Contracting and Credentialing for Beginners
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.
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 […]
Managing Your ABA Authorizations
Managing ABA authorizations tends to be one of the more common pain points with ABA billing. Learn three tips to help.
Single Case Agreement 101
Single Case Agreements, also known as SCAs, are contracts between an insurance company and an out-of-network provider.
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 […]