ABA Billing is a vital step in the revenue cycle of medical companies. It requires a firm grasp of ever-changing billing codes, payer requirements, legal requirements and more. Without a thorough understanding of the process, medical companies risk payment delays and even lost revenue.
To avoid claim rejections and delays, ABA providers must ensure that they have accurate ABA billing codes and complete clean claims before submission. A quality clearinghouse scrubs each claim prior to submission, helping ABA professionals minimize errors and optimize their chance for reimbursement (Stall, Brinkman, & Padula, 2021).
Prior authorizations are another key part of avoiding denials and rejections. ABA billing companies can help therapists verify client insurance coverage before services begin, which prevents them from being billed for services that aren’t covered by their clients’ plans.
In addition, ABA billing companies help therapists explain the nuances of client financial obligations to ensure that clients fully understand their deductibles, copayments and insurance coverage. This helps avoid situations in which a client disputes a bill or doesn’t pay their portion of the bill, resulting in delayed payments and uncollected fees.
Finally, ABA billing companies can also help therapists establish robust systems for recording and storing patient information, session details, and progress data. Thorough documentation supports successful ABA billing and enables the tracking of client progress and treatment interventions, as well as aiding future treatment planning.