ABA Therapy Billing Services
The claims process for medical insurance can be a complex and time-consuming task. When done incorrectly, it can result in delayed or rejected payments. And for ABA Therapy Billing Services, the claim process can be even more difficult due to the specialized CPT codes and billing guidelines.
Advanced Solutions for ABA Therapy Billing
Using internal staff and clinical time to manage ABA billing tasks reduces the amount of time that therapists have available for client sessions, making it difficult to achieve optimal revenue growth. And with many payers requiring pre-authorization or having specific ABA therapy carve-outs, it’s important for ABA providers to verify coverage and eligibility before scheduling sessions.
However, this can be difficult to do when working with clients who don’t fully understand their insurance coverage or have incomplete or inaccurate documentation. Plus, a lack of experience with ABA therapy and payer guidelines can lead to mistakes that cause delays or denials in payment.
In addition to ensuring proper coding, ABA billing experts recommend that therapists carefully review their claims before submission. They also suggest avoiding over-billing by setting accurate payment amounts with clients up front, and collecting all insurance IDs at the start of each session to avoid eligibility lapses or billing errors.
Specialized claims support that addresses the unique needs of ABA therapy can help maximize reimbursement and improve the overall financial performance of a practice. By reducing the burden of manual and error-prone billing processes, a provider can better focus on providing exceptional ABA therapy to their clients.