Effortlessly manage your ABA therapy billing and collections with our digitized services, ensuring premium care for your clients.
Compiling and collecting payments from Applied Behavior Analysis (ABA) therapy is quite perplexing indeed. It remains a difficult process for companies to provide all required claim documents even if they have utilized all the possible ways.
HMS Health hosts outstanding ABA therapy payment, receivables, and insurance claims segments which are essential for the management of these problems.
Working with insurance companies on bills for Applied Behavior Analysis (ABA) can be much more complicated than one could imagine. ABA therapy billing and coding has its own difficulties as different POS and Modifier Requirements by Plans, States, Provider Credentials, and Paperwork Difficulties apply.
Furthermore, there is a significant difference in the billing process of Medicaid or Early Intervention Programs (EIP) between the states because it is regulated by every state thus each state can determine either provider’s portal or billing protocol.
We acknowledge that the best and number one asset of a business are its clients. This is why you are our top priority. We understand that billing and revenue are fundamental to surviving a broad business like a clinic of Applied Behavior Analysis (ABA) that strives to eliminate waitlists to provide care to more children with special conditions.
Our team specializes in navigating the intricate landscape of insurance claims and reimbursement, allowing you to focus on what truly matters
Here is how
We can help!
Together, we will realize these plans and move into the future as one of the leading companies in this sphere. Because of over 7 years in this field, ABA therapy billing specialists working with us have the highest industry-level expertise in the ABA billing system. They assist with the most common reimbursement claims instances from different billers.
We are proud to say that our team is an ABA-certified billing team – with many years of collective billing experience – and is a step ahead in this ever-evolving context, including the implementation of new and consequential Category I codes and the revision of Category III codes proposed for billing ABA therapy services.
In the event of claim rejections or denials, we implement a robust denials management strategy. We identify the reasons for the denial, rectify the issue promptly, and take preventive measures to avoid future denials.
ABA therapy billing services through Medicaid can be challenging. Having successfully submitted thousands of ABA claims to Medicaid across several states, our team understands the complexities of billing these mandated services and maximizing reimbursement for our providers.
We understand that ABA therapists have a demanding workload. That’s why we provide auditing and training for ABA providers on taking Session Notes. We handle administrative tasks like billing and collections and offer guidance on managing specific persistent denials, ensuring better outcomes for clients through our ABA billing solutions.
To avoid audits, many payers now require prior authorization for ABA services. Our ABA therapy billing services ensure that you are fully compliant with existing ABA and HIPAA rules. You can rest assured that we handle all prior authorizations for the services you offer your clients, providing you with peace of mind even in the face of audits.
Let our certified medical billers and coders care for your ABA billing needs with our comprehensive
end to end process that guarantees maximum reimbursements.
HMS USA is your exclusively individual partner. The line that flows through our veins creates tailored medical billing and collections services based only on ABA providers’ requirements.
Have you considered the hard-earned revenue lost by your ABA practice which could have been proven otherwise? Allow us to point out and resolve the fundamentals of billing and collections problems that are visibly in your way. With our ABA business management software’s ability for in-depth analysis to be able to discover deviations and shortcomings either in the current workflow process or control of operations.
Get to be guided by certified experts who have stayed in the industry for a long time and came in with a wealth of experience. On top of this, they will assist you in getting immediate payment and sort out errors in billing and collections.
Thanks to a streamlined process, clients receive their orders in record time now, commonly within 48 hours. This efficiency is demonstrated in the tremendous 95% clean claim rate that they are undertaking now. In the past years, automatic payment collection has grown at an incredible rate with almost 35% of payments now being made this way. The claim rate for contracted volumes has done just as well and is currently at 98%.
Billing operations for ABA have been transformed such that the denial rate has dropped from 5% to less – an impressive outcome. Additionally, the HMS Health duo with our practice has stabilized Accounts Receivable (A/R) days down and their final score became 25 days for A/R.
HMS offers comprehensive assistance to ABA therapy billing companies and therapists, tackling complex billing and coding challenges head-on.
We stay up-to-date with the continuously changing CPT codes, ensuring accurate billing despite evolving guidelines.
Our expertise extends to handling billing complications due to the involvement of multiple therapists, ensuring seamless coordination.
HMS Health excels in entering appropriate patient data and verifying patient eligibility, minimizing errors and delays.
