Are you tired of ABA billing challenges and want to streamline your revenue cycle? NeuraBill’s ABA billing services will help you achieve the ultimate financial success without breaking your bank.
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Effective ABA revenue cycle management (RCM) and medical billing are the backbone of any therapy facility. That was the driving factor! It motivated our team not to settle for a one-size-fits-all solution, but rather to tailor the ABA medical billing services to address the unique challenges that therapists face.
How did we achieve this feat? By slowing down and taking the time to study ABA-specific billing requirements, questioning therapists about their struggles, and investing hours in training our primary team of billing specialists and certified professional coders (CPCs). That is the fruit you will reap when you partner with NeuraBill for ABA billing and coding services. So, avoid rushing through the process and let experts handle the intricacies of ABA medical billing.
Undoubtedly, when you want to outsource ABA billing, you will find several options to choose from. Yet, most therapists partner with NeuraBill. Because we are not any ordinary ABA billing company. We function with the core values of integrity, confidentiality, and transparency. This translates into the results we deliver to you when you acquire our suite of ABA medical billing services!
How? Our billing experts and CPCs ensure coding accuracy and billing precision, leaving no room for undercoding or upcoding. As a result, you get paid for what you rightfully deserve – Integrity! We safeguard each patient’s protected health information (PHI) by employing robust security protocols. Moreover, we share detailed monthly billing reports with actionable insights. Thereby bringing transparency to the table.
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ABA billing lacks a uniform standard. That is, different payers impose distinct coding, documentation, and coverage rules. Contrarily, the legislation across each state varies. As a result, ABA therapists often struggle to adapt to this variability.
ABA therapies are often long-term, necessitating the need to obtain prior authorization from the insurance payer. Besides, you must demonstrate the medical necessity of the treatment plan and its effectiveness to the payer via detailed progress reports.
Another requirement that further complicates the ABA billing process is to ensure detailed and accurate session notes. Each payer has specific requirements for treatment, session length, and progress. Inconsistency in these notes directly leads to denials.
Many times, therapies involve multiple providers. Ensuring each of these therapists is credentialed with the relevant payer is a lengthy process. Out-of-network providers often encounter claim denials, payment reductions, or increased patient responsibility.
ABA billing has unique requirements that general billers cannot capture. Simply put, it requires an understanding of timed units, how insurers interpret medical necessity for autism care, and specific modifiers. Failure to adhere leads to revenue loss.
AMA updates procedural codes and the reporting guidelines over time. Therefore, if you miss any updates to these codes, it will result in coding errors, denials, and revenue leakage. Thus, staying current with codesets is another ABA billing challenge.
Medical billing for ABA is not as simple as you assume. It involves timed coding that is intricate to report. Also, if your documentation lacks details, it will flag the authorities. The consequence? Underpayments, higher claim denials, and even audits. Here, let’s take a look at some of the ABA procedural codes to understand the complexity involved.
Currently, there are over 33,633 ABA therapists employed in the U.S. However, if we talk about ABA facilities, we have more than 100 practices. The interesting part? Several of these trust NeuraBill’s ABA medical billing services.
The reason? At NeuraBill, we stay abreast of changing ABA medical billing and coding rules, adhere to diverse state and payer requirements, ensure detailed session notes, and follow ABA-specific reimbursement guidelines that keep in-house billing departments on their toes. However, with NeuraBill by your side, you can bid adieu to all these headaches!
Our ABA medical billing services include everything you need to ensure timely reimbursement collections and a healthier revenue cycle. From charge entry to payer follow-up, eligibility verification to payment posting, we handle all administrative tasks related to ABA medical billing to help you ensure a steady cash flow and operational efficiency.
As the healthcare regulatory landscape continues to evolve, we conduct ongoing training sessions to ensure that all our ABA billing experts and CPCs understand the reimbursement guidelines and policies. Besides, our team proactively strives to stay current on federal and state laws, including payer rules, to ensure compliance and avoid costly denials and audits.
Outsourcing ABA billing and coding has many benefits. Some of these include slashed overhead expenses, freedom from hiring and managing an in-house team of billers and CPCs, reduced administrative burden, and timely reimbursements.
After acquiring NeuraBill’s ABA billing services, you will start noticing short wins within the first 1-2 months. These include streamlined workflows and enhanced claim first-pass ratios. However, it may take around 3-6 months to notice significant and sustainable results in your ABA RCM.
