Managed Billing Services for ABA Therapy Practices Streamline Your Billing with AlohaABA's Comprehensive Solutions
Simplify Your Revenue Cycle Management
Navigating the complexities of billing and revenue cycle management can be challenging for ABA therapy practices. At AlohaABA, we specialize in providing managed billing services designed to optimize your billing processes, enhance your cash flow, and ensure compliance with industry standards. Our expert team is dedicated to handling the intricacies of ABA billing, allowing you to focus on what you do best—providing exceptional therapy services to your clients.
Comprehensive Managed Billing Services
Claims Management
From claim submission to follow-up, we handle every aspect of the billing process to ensure timely and accurate payments.
Denial Management
Gain valuable insights into your practice’s financial health with detailed billing reports and analytics. Our transparent reporting keeps you informed about your revenue cycle performance.
Billing Reports and Analytics
We offer support for client billing inquiries, ensuring a smooth and professional experience for your clients.
Client Billing Support
Our proactive approach to denial management helps minimize claim rejections and delays, ensuring your practice gets paid faster.
Why Choose AlohaABA for Managed Billing Services?
01
Expertise in ABA Therapy Billing
Our team has extensive experience in ABA billing and is well-versed in the nuances of insurance claims, coding, and reimbursement processes specific to autism therapy services.
02
Maximize Revenue
We work diligently to ensure accurate claim submissions and timely reimbursements, reducing claim denials and maximizing your practice's revenue.
03
Compliance Assurance
Stay compliant with the latest billing regulations and standards. We ensure your practice meets all necessary requirements, reducing the risk of audits and penalties.
04
Efficient Billing Processes
Our streamlined billing processes are designed to improve efficiency and reduce administrative burdens, freeing up your staff to focus on client care.
Our Process
Steps in Revenue Cycle Management (RCM) For ABA Therapy Providers
1) Initial Claim Creation
Using the AlohaABA Practice Management (PM) system, we generate claims based on documented services, ensuring all necessary details such as client information, provider details, and service codes are accurately entered.
2) Validation and Error Checking
Our team reviews claims for errors or omissions before submission, checking for correct CPT codes, authorization details, and compliance with payer requirements to minimize denials.
3) Claim Submission
We submit scrubbed claims to a clearinghouse, which checks for basic errors and formats the claims according to payer specifications before forwarding them to the appropriate insurance payers.
4) Insurance Payer System
The insurance company reviews the claim, verifying client eligibility, coverage, and whether the services provided match the authorized treatment plan. They may request additional information if necessary.
5) Payment Posting
The AlohaABA PM system receives the ERA from the clearinghouse, posting payments to the provider’s account and updating client accounts to reflect payments received and remaining balances.
6) Electronic Remittance Advice (ERA)
The insurer sends an ERA back to the clearinghouse, detailing the adjudication results, including payment amounts and reasons for any denials or adjustments.
7) Decision Making
The insurer adjudicates the claim, determining payment based on contract amount, active coverage, deductibles, copays, and coinsurance. They decide whether to pay, deny, or partially pay the claim.
8) Insurer Review
The insurance company reviews the claim, verifying client eligibility, coverage, and whether the services provided match the authorized treatment plan. They may request additional information if necessary.
9) Financial Reconciliation
We reconcile the payments received with the amounts billed, ensuring all payments are accounted for and addressing any underpayments or overpayments.
Get Started Today!
Ready to optimize your revenue cycle and take your practice to the next level? Contact AlohaABA today to learn more about our Managed Billing Services and how we can help you achieve your financial goals while providing the best possible care to your clients.
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