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ABA Credentialing Specialists
Trusted by 200+ Practices
Insurance Credentialing Services for ABA Practices
Partnering with a credentialing company that can handle one-time requests and is also equipped with the expertise to foster long-term relationships is a blessing in disguise. That is MediBillMD for you! Our comprehensive solutions suite includes credentialing for Applied Behavior Analysis (ABA) practices, providers, re-credentialing, clearing house enrollment, and CAQH profile review and maintenance.
Each step of our ABA credentialing solution is tailored to fast-track the process. First, we review each client’s CAQH profile and update it. Next, we collect all the required documents and create a separate project for each credentialing case. We then complete and submit the application, and regularly follow up with the payer on the status to ensure the contract is signed and uploaded to the system.
Provider Credentialing
Eyeing a leading insurance payer to expand your reach and uptick your revenue, but do not have the time to handle the lengthy credentialing process? Let MediBillMD handle the entire application request journey for you!
Re-Credentialing
It is a headache to take out time from your busy clinical routine and meet the re-credentialing requirements of payers every 2-3 years. Our experts can help you continue rendering care services without a break with our ABA re-credentialing services.
CAQH Review & Maintenance
Having a CAQH profile that is complete and up-to-date with active licenses and certification details is the primary requirement to ensure credentialing. At MediBillMD, we also provide CAQH profile audit and maintenance services so you do not have to divert your focus from your patients.
Clearinghouse Enrollments
Clearinghouses are the key to ensuring faster payments and preventing costly denials. They streamline the entire billing workflow by looking for errors and discrepancies in claims before they reach the payer. Our ABA credentialing experts can work on the forms and requirements needed to get you enrolled with clearinghouses.
Common ABA Credentialing Challenges
Inconsistent
Payer Requirements
Credentialing for ABA practices is highly challenging because of specific payer requirements. Sometimes, even various plans from the same payer have unique policies. Thus, everything from documentation to timelines and eligibility criteria needs to be carefully reviewed and adhered to avoid application rejection.
Verification &
Approval Delays
If you are starting your ABA credentialing journey with any payer, tighten your seat belt and be prepared to face roadblocks like verification and approval delays. Payers utilize databases, such as CAQH, to verify provider credentials. Besides, your initial application may take anywhere from 90 to 120 days
Internal Process
Gaps
If you are still stuck in the manual processes, managing credentials using the slow and error-prone spreadsheets, then you are in serious trouble. The reason? These age-old methods create further ABA credentialing challenges like documentation lapses, missed deadlines, and duplicate submissions.
Missing or Incorrect
Documentation
Insurance payers want you to submit credential packets that include dozens of documents, certificates, and licenses. Even a single unsigned attestation, expired license, or missed certification can bring you back to square one. Besides, some insurance payers do not even allow you to reapply immediately after a rejection.
Why Partner with MediBillMD for ABA Credentialing?
Delayed credentialing is equal to lost revenue! Because if you are not in-network with the insurance payer, you cannot render care services to their beneficiaries. Therefore, most of the providers outsource ABA credentialing services. At MediBillMD, we have helped 200+ ABA practices get credentialed with reputable insurance payers till now.
Do you want to know how we made it possible? By leveraging the expertise of our ABA credentialing experts, who are well-versed in varying payer requirements and industry best practices. Besides, we assign a dedicated account manager, conduct bi-weekly follow-ups, and offer around-the-clock support, leading to seamless communication and faster approvals.
Every payer has unique requirements for various specialties, making the entire credentialing process a complex maze. Here, even Google Maps cannot help you navigate. With MediBillMD, you can leverage the knowledge of ABA credentialing specialists. They are familiar with all the ins and outs of payers’ credentialing requirements.
Nothing is more mentally draining and exhausting than being ghosted. Unfortunately, payers lack the necessary transparency in the credentialing process. Understanding this challenge, we assign a dedicated account manager to each client to serve as the direct point of contact, answering your queries, concerns, and keeping you updated 24/7.
Insurance credentialing for ABA practices does not end with application submission. Since it is a lengthy process, our team proactively follows up with the payer bi-weekly to ensure your request does not get buried under their credentialing backlog. Also, we make a note to keep our clients in the loop!
Offering around-the-clock support to all our clients is what sets us apart from other ABA credentialing services providers. You do not have to look at the watch on your wrist before dropping a message to us regarding your application status or any other concerns related to your application request.
If you do not want the already lengthy credentialing application process to drag even longer, then you have found your savior in MediBillMD. Our teams stay vigilant to fulfill any additional documentation or informational requests made by the payer to ensure faster approvals.
Whether you are an ABA provider practicing in Texas or Hawaii, MediBillMD has got you covered. Our credentialing services for ABA practices are available across all 50 states of the USA. We carefully work on each application and ensure compliance with state-specific policies.
Get In Touch with a ABA Credentialing Specialist
Are you unsure where to start your ABA credentialing journey? Connect with our representative now! Understand how we can help you get credentialed with the leading insurance payers successfully and eliminate delays.
FAQs
It is an extensive process. It typically takes, on average, 3 months to complete. Therefore, you should start the ABA credentialing process at the earliest. Simply put, the entire application and required documentation must be ready to submit 90 days before the date you plan on rendering care services to the specific payer’s insured patients.
For successful ABA credentialing, you must have a CAQH provider ID number, NPI, TIN, BCaBA or BCBA certifications, professional licenses and certifications, and any other required state licenses. Besides, you must provide personal details and information related to your organization (if applicable).
Yes, as part of our credentialing services for Applied Behavior Analysis (ABA) practices, we also help you set up your CAQH profile. That is not all, our expert credentialing team can even audit and update your existing CAQH profile to prevent unnecessary delays.
It generally takes anywhere between 45 and 120 days to complete ABA credentialing.
The payer performs a thorough review of all the provided details and runs a background check. Once the ABA credentialing process is complete, your application is then transferred to the contracting department.
When you outsource ABA credentialing services to MediBillMD, you enjoy complete peace of mind. How? Our team proactively follows up with the payer and keeps you updated on the status.
Some of the key reasons for delays in your ABA credentialing are missing or incorrect documentation, evolving regulatory changes, inconsistent payer requirements, and state-level Medicaid variations.
