Reliable cash flow is essential for keeping ABA clinics running. It keeps teams paid, and families served. Key to this is the revenue cycle, which is the set of activities that convert scheduled services into collected revenue, from intake through final balance resolution. A revenue cycle specialist (RCS) manages that day‑to‑day work so claims go […]
Tag: #MissingPiece
What Is A Rendering Provider in ABA Billing?
Accurate provider information is one of the most important parts of a clean ABA claim. When payers receive a claim, they need to know not only which organization is billing for the service but also which individual delivered it. That individual is known as the rendering provider. Put simply, the rendering provider is the person […]
2025 Credentialing Delays: What ABA Providers Should Know
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 […]
Medicaid Cuts & ABA Care in 2025: What Providers Should Prepare For Now
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 […]
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.
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.
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.