As we get further into 2025, Applied Behavior Analysis (ABA) therapy providers are facing a period of heightened financial uncertainty. At the center of the conversation are the proposed Medicaid cuts — federal and state-level decisions that could have lasting effects on access, reimbursement, and the operational sustainability of behavioral health services in the United […]
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Keeping ABA Clinics Profitable in 2025
Revenue Risk in 2025: How ABA Practices Can Stay Profitable In 2025, ABA therapy practices, among many other healthcare providers, are navigating one of the most uncertain financial landscapes in recent history. Despite the demand for Applied Behavior Analysis (ABA) therapy continuing to grow, providers are now facing potential policy shifts, increased staffing shortages, and […]
Need Health Insurance?
Have you or your patients struggled with finding or maintaining health insurance? Many new options are available currently for coverage between COBRA, marketplace and Medicaid.
Why is Payment Posting in Medical Billing Important?
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.
What should be included in ABA intake paperwork?
Initiating ABA services can be a cumbersome and time-consuming process for both the patient and the provider. Documenting medical necessity and the need for services andthe proper consents, are a critical part of a patient’s medical record. Most of this information is gathered during the intake process, which starts before the patient’s first appointment.
Understanding CMS, NCCI, and MUEs in ABA Billing
MUEs can impact daily billing for ABA therapy. ABA providers should be familiar with the rules and regulations of CMS and NCCI.
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.
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.
HIPAA and Confidentiality for ABA and Behavioral Health Providers
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.
What is Coordination of Benefits and Why is it Important?
Coordination of Benefits for ABA therapy. One more step in understanding how to get paid.