Insurance Billing for ABA is a complex process with many steps that can be easily missed. With a little bit of help, ABA companies can streamline their processes and get paid promptly and fully.
Ensuring Accurate Claims with Professional ABA Billing Services
The most common challenges with ABA insurance billing include:
1. Errors on claims delaying reimbursement – Many of these errors are preventable, such as listing the wrong diagnosis or client name on the claim. These errors are usually simple to fix, but they can delay payment. 2. High rates of claims denials – Sometimes insurers simply deny a claim rather than sending a query for more information. This can be a frustrating issue for both providers and clients, but it’s best to focus on preventing denials in the first place.
3. Obtaining pre-authorizations – Most insurance companies require that ABA providers obtain prior authorization before delivering services. This process can be time-consuming and requires a thorough understanding of CPT codes. Also, it is important to verify the insurance coverage of clients prior to scheduling their initial appointment.
4. Maintaining current credentialing – ABA providers must have credentials with all insurance companies with which they plan to deliver services. This can be challenging, especially if a therapist works for one clinic and then moves to another.
5. Filing claims within insurance company deadlines – Most insurance companies have strict filing deadlines that providers must adhere to or risk having their claim denied. A good practice management system will enable you to keep up with these deadlines and ensure that your claims are filed accurately and in a timely manner.