For ABA practice owners and BCBAs
ABA Therapy Billing & Credentialing
Your clinicians are working. The deposits aren't keeping up. Authorizations need attention, denials are waiting, and a new provider still isn't ready to bill. We work the claims and payer credentialing together, so you don't have to chase two vendors for the same answer.
Based in Phoenix. Serving practices nationally. Julius personally reviews the work.
ABA claims need more than a completed session
ABA is authorization-heavy, uses time-based codes and depends on strict session documentation. Medicaid rules vary by state and plan; AHCCCS requirements in Arizona aren't a substitute for checking another state's plan. We check the payer requirements that apply to your practice. Your providers remain responsible for clinical documentation and code selection.
Authorizations tied to sessions
A session can be documented and still fall outside the authorized dates or units. We track billing authorization details against the sessions your team documents and flag gaps for your practice.
Time-based claim details
ABA billing depends on time-based codes and strict session records. Your provider selects the codes; we check that the claim details match the documented session before submission.
Denials with a next action
Eligibility, COB and authorization denials need different fixes. We find the cause, correct or appeal as appropriate and keep a record of what's waiting on the payer or your team.
Payer credentialing connected to billing
Waiting for credentialing can leave a new clinician seeing people the practice can't yet bill for. We track applications and confirm effective dates, with the status shared directly with billing.
A/R that doesn't disappear
A/R older than 90 days can quietly become money you'll never collect. We review aging claims by payer and next action, and tell you where recovery depends on records, deadlines or payer decisions.
The business side of your practice
You're a clinician running a business. We connect billing and credentialing to bookkeeping, payroll and tax, so a strong month of sessions and a weak month of deposits are discussed together.
A handoff your practice can follow
If your biller left and took the process knowledge with them, we start by finding the open claims, payer access and missing records. We'll agree on the scope and document the handoff. You talk to the small team doing the work.
Use our healthcare estimators and business estimators for a starting point, then discuss your quote with us.
Scope and payer requirements
Bring the claims and the books into one conversation
Talk to our teamBehavioral-health practices · Medical billing · Published pricing