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 […]
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.
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.
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.
ABA Therapy Billing Codes
Treatment for autism with ABA therapy (Applied Behavioral Analysis therapy) has come a long way. The billing and coding have also changed significantly in the last ten years. The initial medical billing codes were undefined, leading to unreliable coverage and reimbursement. To create a standardized set of ABA CPT codes, the American Medical Association (AMA) […]
ABA Billing in 2021
We’ve compiled a list of best practice financial recommendations as we all begin to look towards what 2021 holds. Take a look and see if there are additional ways you can maximize your organization’s revenue potential in 2021.
New Billing Code to Cover Costs of Covid-19 Safety Precautions
Are you feeling burdened by the cost and time required to follow the necessary precautions to protect your staff and patients from Covid-19? Good news for ABA, speech and occupational therapy and behavioral health providers!