Our ABA billing solution

Missing Piece ABA Billing provides a comprehensive revenue cycle solution that manages every aspect of the billing and collection process for you. No matter the scale of your practice, our team is here to help so you can focus on what’s important—providing the highest quality patient care.

Our revenue cycle management model

Cycle Management Model
  • Comprehensive implementation and transition support including contract analysis, existing patient benefit verification and cleanup, and preference configuration to ensure uninterrupted operations
  • Quality assurance testing and thorough account preparation before handoff to the Operations Team, ensuring smooth management of your account
  • Onboarding of your team to our practice management software for improved efficiency and accuracy
  • Provider credentialing management including submission of clinician information to payers, securing discipline contracts, and tracking re-credentialing requirements
  • Ongoing contract administration including regular updates to ensure compliance with payer requirements
  • Maintenance of electronic remittance advice and electronic funds transfer (ERA/EFT) to ensure accurate payment processing and allocation
  • Comprehensive verification of benefits to ensure compliance and appropriate use of applied behavior analysis (ABA) codes
  • Expert guidance on patient intake documentation to meet ABA service requirements
  • Optional patient communication services to explain benefit details including financial responsibilities (deductibles, copays, out-of-pocket maximums)
  • End-to-end authorization services for ABA assessments and treatments (including ABA Therapy, speech, occupational and physical therapy), including managing appeals for denials
  • Provider updates on payer-specific treatment plan guidelines to ensure proper reimbursement
  • Proactive tracking of authorization usage and expiration dates with timely re-authorization to maintain continuity of care
  • Accelerate reimbursement with advanced payment processing systems
  • Ensure full compliance with all payer-specific billing requirements
  • Implement proactive claim monitoring to prevent revenue disruption
  • Establish automated ERA/EFT systems to streamline payment processing and eliminate paperwork
  • Resolve reasons for payment denials including non-contractual adjustments, unexpected patient balances, and underpayments
  • Obtain maximum reimbursement for your services from health insurance providers
  • Provide expert advocacy to protect provider and patient financial interests
  • Capture additional revenue through specialized recovery processes that extend beyond standard collection methods
  • Successfully overturn denials and collect payments that rightfully belong to you
  • Leverage our knowledge of ABA medical necessity policies for your benefit
  • Determine payer-specific appeal policies and provide guidance on your behalf
  • Deliver exceptional patient experiences through compassionate interactions and tailored communication strategies
  • Implement customized payment solutions with flexible options based on individual financial circumstances
  • Optimize patient satisfaction and revenue collection through streamlined processes and superior customer service

Additional Services

Our expertise extends to these services that many providers offer in parallel with ABA therapy:

Speech & Occupational Therapy

Behavioral Health Services

Telehealth

  • Secure specialized therapy contracts that maximize coverage for your speech and occupational therapy practice
  • Navigate therapy authorization requirements with ease, ensuring treatment plans receive timely approval
  • Simplify benefits verification to optimize reimbursement while focusing on patient care
  • Provide clear guidance on private insurance considerations, helping you make informed decisions for your practice
  • Streamline billing processes for all behavioral health specialists, including BCBAs, LMHCs, LCSWs, and doctoral-level providers
  • Navigate telehealth regulations and maximize reimbursement opportunities with expert guidance tailored to your practice
  • Simplify telehealth implementation with comprehensive eligibility verification, authorization management, and specialized billing support

Delivering measurable, proven outcomes

$1B+

in ABA Billing Claims in 2024

92%

gross collection rate within the first three months

99%

clean claim rate

Benefits of working with us

Get maximum reimbursement, faster

Our experts ensure correct coding standards for insurance providers, helping you avoid costly errors and resubmission fees while accelerating claims collection through streamlined processes.

Grow your practice
with peace of mind

Insurance requirements for ABA therapy constantly evolve, creating reimbursement challenges and complexity. Outsourced billing partners scale with your growth more efficiently than in-house teams.

More time for patient care, with less overhead

We free you from administrative burdens, allowing you to focus on patient care while avoiding in-house billing department costs—you only pay when insurance pays you.

Discover how Missing Piece ABA Billing can transform your ABA practice and boost your bottom line.

Expert support from a team specializing in ABA therapy billing

More time to focus on your
patients—not paperwork

Insights and guidance whether
you're just starting or scaling up