Boost revenue and spend more time with clients by using Pharmbills’ specialized applied behavioral analysis billing services
One of the most time-consuming aspects of ABA therapy billing is prior authorization. Our ABA billing specialists will set up a streamlined process so you can move clients from intake to approval to therapy provision as efficiently as possible. This means you will spend less time on non-billable administration and more time delivering care that makes a difference.
Due to the varying requirements between payors, many ABA therapy providers face significant challenges with reimbursement. We’ll handle all aspects of ABA insurance claims, including collecting relevant CPT codes, claims submission, tracking, and denials management. With Pharmbills at your side, you can focus on delivering care while we look after all aspects of claims management.
Maximizing ABA therapy billing requires a large amount of data collection and data entry. Our team can help you set up efficient processes to collect, enter, and manage the data required for efficient ABA claiming. We’ll also provide regular data analysis and reporting, giving you full transparency into the financial performance of your business.
Handling tasks related to managing accounts can reduce valuable billable clinical time for ABA therapists. Our affordable and efficient outsourced accounts management services provide an end-to-end solution for looking after accounts receivable and payable. We can handle submitting client invoices, reconciling claims, managing vendor accounts, and more.
For many ABA providers, employing local HR and payroll services is a significant expense that erodes overall profitability. Pharmbills can provide outsourced HR and payroll services at a fraction of the cost of local providers, often with increased efficiency. This allows you to secure and maintain the talent you need to grow your ABA therapy clinic.
Get billing support focused on documentation, payer workflows, and consistent day-to-day operations.
The ABA billing process starts when a parent first contacts an ABA provider. Before the appointment, staff must check the patient’s insurance coverage, including reimbursement eligibility for an initial assessment. After the assessment, the insurer must be provided a detailed treatment plan so they can advise on coverage for the proposed course of action.
Information that must be collected and included in ABA therapy claims includes patient demographics, current procedural terminology (CPT codes), and modifiers. In addition, payers may have additional specific requirements for each session. Finally, some payers have different reimbursement rules for board certified behavioral analysts (BCBAs) vs. other providers.
As a relatively new type of care, the billing guidelines and regulations for applied behavioral analysis are constantly evolving. To maximize revenue, providers must stay aware of changes and adjust billing practices accordingly. Data collection and record keeping must also always be maintained, to be prepared for queries or audits by insurers or licensing boards.
The revenue cycle for ABA therapy billing includes intake and prior approval, claims generation and submission, collection of payment from the client, claims follow-up, then collecting any further payments outstanding. To remain financially viable and optimize revenue, ABA therapy providers must effectively manage each step of the revenue cycle.
Our team specializes in the unique challenges of ABA billing, including managing diverse payer requirements and complex authorizations.
We tailor our services to your clinic’s specific needs, whether you are a small practice or a multi-clinic organization.
Through the intelligent use of business process outsourcing, we can assemble a highly skilled team at a fraction of the cost of local talent.
From front-end processes to denial management, we provide end-to-end revenue cycle management for your ABA practice.
Our team stays updated on the latest ABA billing challenges, ensuring your clinic always meets current standards.
Our diverse medical and behavioral health clients have seen significant improvements in revenue since partnering with us.
By spending less time on claiming and billing, your team can focus more on revenue-generating activities.
When ABA therapists spend less time on administration, they have more capacity for delivering therapy.
Feel comfortable knowing that all of your data collection and documentation is complete and compliant.
Scalable accounts receivable outsourcing services for inpatient operations, designed to drastically reduce billing errors and accelerate reimbursements.
Boost claim accuracy and speed up payment cycles with AR billing services aligned to your software and compliance needs.
Accurate, fast-turnaround billing support for high-acuity environments—ensuring clean claims and effective denial management.
Specialized support for SNFs and LTACs, including accounts receivable services for small business-scale operations and long-term care billing.
Centralized accounts receivable management services that bring consistency across multi-location healthcare organizations.
Consolidated receivable management solutions to handle cross-specialty billing with clarity and compliance.
Flexible back-office support that helps independent physician associations maintain clean AR processes and network-wide billing efficiency.
With our 5-step success formula and the support of your personal Client Service Manager, your ABA therapy practice will be transformed in no time.
We meet with you to fully understand your business and explore your challenges and goals
Work with us to assemble a customized team of experts to take your business to the next level
Our rapid process means you change can start very quickly to begin transforming your business
We will regularly communicate, upskill staff, and support you in achieving your business goals
All changes and existing processes will be regularly monitored and reported on for full visibility
From invoicing to coding and issuing payments, we can handle all back-office tasks to streamline your daily business operations.
We step in as the primary billing contact for all clients and vendors. This frees up your team to focus on the tasks that contribute to your strategic goals.
You can only change processes that you have complete and accurate data about. Our data analysis & reporting services can be used for many different business metrics.
Books out of balance? No problem. We can track, reconcile, and manage accounts and records of any type. Use our accounts management services for one-off or ongoing tasks.
See what Pharmbills partners have to say about their experience.
