ABA Therapy billing
ABA billing has its own rules: unit-based CPT codes, strict authorization limits, supervision rules, and frequent re-assessments. We specialize in it, so your BCBAs and RBTs can stay focused on clients.
The problem
Codes we bill every day: 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158
How we handle it
Live dashboards show authorized vs. used units per client so you never over-deliver unpaid services.
Claims are checked against code pairs, modifiers (HN, HO, HP), and payer-specific supervision rules.
We track assessment and re-auth deadlines and prepare the submissions.
Enrollment and credential tracking for BCBAs, BCaBAs, and RBTs.
Workflow
Client example
The situation. Units were billed past authorization limits and claims sat in a backlog for weeks.
What we did. We added daily unit tracking, ABA-specific claim edits, and a re-authorization calendar. Within six months the backlog was gone.
Client details anonymized. Results vary by practice.
Behavioral Health, Mental Health, Primary Care, Cardiology, Orthopedics, Physical Therapy, Home Health, Laboratories, and Specialty Clinics.
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
