Effective ABA Billing Solutions for Optimal Results
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of
ABA Billing
Services
Information collection, coding, claim submission, and follow-up! These are some of the common billing practices. Applied Behavior Analysis or ABA therapy billing services manage these tedious administrative tasks. ABA therapy medical billers reduce the risk of financial repercussions by handling everything, from submitting insurance claims to resolving claim denials.
ABA billing services free up average healthcare providers’ time from complex coding and compliance. For example, Medibill MD proficiently adheres to the ever-changing regulations and payer’s requirements. Our experts improve the cash flow of healthcare organizations, allowing board-certified behavior analysts to offer the best care to their patients.
Common Challenges in ABA Therapy Billing
In-house management of the ABA therapy billing process is quite challenging. Even if you allocate extra time, money, and resources, there is always a chance of facing claim denials. A single coding error, missing prior approval for a service, or incorrect information can lead to an insurance company denying your medical claim.
ABA therapy is a challenging field with a dynamic work environment. Each day, behavior analysts attend to multiple patients with different psychological disorders. The physically and emotionally exhausting schedule makes the billing process quite burdensome. Some common challenges of ABA therapy billing include:
Complicated Codes
From behavior assessment to treatment, every ABA therapy service has a unique CPT code. However, assigning these codes is difficult as the code sets are updated annually.
Changing Regulations
Keeping up with the changing regulations is challenging. Healthcare regulations and insurance policies require constant attention as they vary from payer to payer and across different states.
Delayed Pre-Authorization
Many ABA therapies require prior approval from the payers. However, this pre-authorization process is often quite lengthy and cumbersome, requiring several steps and extra time and resources.
Incomplete Documentation
Documentation is key to obtaining timely reimbursements. Insurance companies require comprehensive and accurate details about a patient’s treatment. Otherwise, they can easily deny your medical claims.
Inexperienced Staff
The billing process for ABA therapy requires specialized knowledge. However, arranging regular training is time-consuming and costly. Therefore, most ABA therapy practices neglect staff training and have high denial rates.
Claim Denials
Many ABA practices experience frequent claim denials due to common billing issues like incorrect coding, lack of pre-authorization, and non-compliance with healthcare and insurance regulations.
Why Choose MediBill MD for ABA Billing Services?
As you can see, the billing process for ABA therapy is quite complex. So, why not hand it over to a reputable ABA billing company? MediBill MD is the perfect choice for upscaling your practice!
Let our certified ABA therapy billing specialists handle every step of your billing process. At MediBill MD, we file first-pass clean claims, reducing claim denials by 5% to 10%. Are you still not convinced? Check out the following reasons to see why you should streamline your ABA billing process with Medibill MD.
We are your top resource for ABA therapy billing services! At MediBill MD, our certified experts handle each step of the process. We are proficient in the relevant ABA therapy codes, helping you file accurate claims.
We help you avoid financial penalties! At MediBill MD, we comply with HIPAA regulations and ensure 100% data security. Our staff constantly monitors regulatory changes and follows all the healthcare rules and insurance policies.
We ensure timely reimbursements! Our clean claim submission leads to a quick turnaround. By choosing MediBill MD, you can expect payment for your services within 7 to 14 days of claim submission.
We reduce the chances of claim denials! Our ABA therapy billing services also include comprehensive analysis and reporting. We use electronic health records (EHRs) to accurately document every detail of the patients.
We resolve your billing blues! Our seasoned professionals skillfully address different denial codes. At MediBill MD, we have a systematic approach for managing different denials, including verifying the actual reasons and filing appeals.
We guarantee full reimbursements! At MediBill MD, our follow-up team takes a proactive approach so you can receive full and faster payments. We track the progress of every submitted claim to reduce A/R days.
Our proven ABA therapy billing services are available throughout the country. At MediBill MD, we support every type of ABA therapy practice, from small private practices to large multidisciplinary centers. Reach out today and improve your cash flow with our ABA billing services at reasonable rates!
Prevent ABA Billing Errors with MediBill MD
Duplicate claims, incorrect coding, and patient information! Most ABA therapy practices have high denial rates due to these common billing mistakes.
At MediBill MD, we apply the most widely respected healthcare philosophy, “prevention is better than cure,” to our practices. Through proper documentation and regular training, we prevent common billing errors. Our proactive approach minimizes billing errors and improves claim acceptance rates.
| Common ABA Billing Errors | MediBill MD Solution | |
|---|---|---|
| Incorrect ICD-10 coding | Our coding experts are proficient in ICD-10 codes. We keep an eye on all the changes and use the correct codes to indicate the actual diagnosis. | |
| Inaccurate or Missing Client Information | We use electronic health records (EHRs) to document every patient’s information. This digital system helps us submit accurate medical claims. | |
| Issues in CPT Coding | Our team of experts correctly utilizes ABA therapy CPT codes and modifiers. We provide regular training in ABA billing codes to stay updated with the latest changes. | |
| Delayed Submissions | We pay attention to every payer’s claim submission deadline. Our team files medical claims within the specified timeframe. | |
| Coverage Issues | We help you avoid coverage issues by verifying the eligibility of every client. | |
At MediBill MD, we firmly believe in empowering practices of all sizes. Hence, we offer customized ABA billing services at a fraction of your collections. Contact us to get a quote.
Price Comparison Calculator
Based on your annual collections, we will calculate the in-house medical billing cost and compare it with the MediBill MD service charges.
Get In Touch with an
ABA Billing Specialist
Free yourself from the burdens of billing. Get in touch with a reliable ABA billing specialist at MediBill MD to focus on what you do best – changing lives!
FAQs
MediBill MD is famous for its affordable and customizable ABA billing solutions. We file clean claims and help you eliminate denials while optimizing your revenue cycle.
In-house management of ABA therapy billing is quite challenging and costly due to complex coding guidelines, changing regulations, and a shortage of skilled workforce. Therefore, you should outsource your ABA billing to a reliable company, like MediBill MD, that is equipped with the right resources.
MediBill MD provides cost-effective ABA Therapy billing solutions. We only charge a fraction of your total reimbursements. You can contact our representatives to get accurate pricing.
ABA billing, as the name implies, is a process of receiving reimbursements for your ABA services from insurance payers. It involves several administrative tasks, including coding, filing medical claims, and A/R follow-up.
The difficulty level of ABA billing depends on several key factors, including proficiency in CPT and ICD-10 codes and staff training. Most ABA practices find it difficult to choose the appropriate modifiers because they vary across different states and insurance companies.
You can successfully bill an insurance company for ABA therapy by:
- Verifying the patient’s eligibility for that service
- Providing correct information
- Using the appropriate ICD-10 and CPT codes
- Filing the medical claim on time
- Following up with the submitted claim
You can bill the insurance company for ABA services by generating a superbill and submitting a medical claim. Or you can outsource ABA therapy billing to a professional medical billing company like MediBill MD.
Medicaid is an important insurance provider. Here is how you can successfully file a claim to Medicaid for ABA therapy.
- Identify ABA billing codes for Medicaid (ICD-10, CPT codes, and modifiers).
- Verify your patient’s eligibility (the requirements might vary from state to state).
- Obtain prior approval for Medicaid services.
- Document everything, including the date and duration of each service or session.
- Avoid common billing mistakes by verifying everything before submission.
- File your ABA therapy claim within the specified timeframe.
- If the process is too complicated, hire professionals like MediBill MD specialists.
