Insurance Billing for ABA
One of the biggest challenges that ABA therapy clinics face is managing insurance billing. Without a proper process in place, it can be easy for errors to occur that result in delayed reimbursements or denied claims. When these problems are left unaddressed, they can even impact the services that ABA therapists can provide to their clients. Source: https://operantbilling.com
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Incorrect data entry, missing submission deadlines, incorrect CPT codes, and duplicate claims are just a few of the mistakes that can significantly delay or derail your insurance reimbursements. The medical field is constantly changing and keeping up with the latest guidelines requires a lot of time and effort from your billing staff. This is especially true for ABA therapists, who are constantly working with complex and specific code sets.
Another issue that many ABA clinics face is lower than expected rates of reimbursement. This can be due to a number of factors, including whether or not the ABA therapist is in-network or out-of-network with an insurance company. In-network providers have a contractual relationship with the insurance company and may have more streamlined administrative processes than out-of-network providers.
Fortunately, there are a number of ways that ABA therapy clinics can better manage their insurance claims and reimbursements. For example, utilizing purpose-built ABA revenue cycle management (RCM) software can help reduce claim denials, increase payments, and improve the overall health of your ABA practice.