Assessment billing
Behavior identification assessment and supporting assessment claims (97151, 97152).
Specialty billing
ABA Therapy billing services
Unit-based billing that matches what the payer authorized.
ABA billing is driven by authorizations and units. We compare approved hours with delivered sessions, so claims stay inside what each payer approved and renewals do not catch you off guard.
What we handle
Billing built for
ABA Therapy practices.
Codes shown are common examples. Payer rules vary, and we apply the policy that applies to each claim.
Direct treatment billing
Technician-delivered treatment (97153) and protocol modification with a supervising clinician (97155).
Caregiver guidance
Family and caregiver guidance claims (97156, 97157) with the documentation payers expect.
Group treatment
Group adaptive behavior treatment (97154, 97158) billed under payer-specific rules.
Authorization and unit tracking
Approved units and date ranges logged per client and compared with delivered sessions.
Credentialing and denials
Payer enrollment for providers, plus denial follow-up and appeals.
How we work
Four steps.
Nothing left hanging.
- 01
Verify
Eligibility, benefits and authorizations are checked before the visit.
- 02
Code & submit
Encounters are coded from your documentation and claims are checked before they go out.
- 03
Follow up
Rejections, denials and unpaid claims are worked until they are resolved.
- 04
Report
You receive regular reporting on claims, denials and collections.
How do you track authorizations?
We log approved units and date ranges for each client and compare them with scheduled and delivered sessions, so usage is visible before units run out.
Do you bill for technicians and supervisors?
Yes. How each is billed depends on the payer, so we set up rendering and supervising provider details per contract.
Do you work with Medicaid ABA programs?
Yes, subject to each state program’s enrollment and billing rules.
Your next chapter starts here
More time for patients.
More potential for your practice.
Start with a free practice audit or a conversation about your ABA Therapy practice.
No patient information needed.