ABA Revenue Cycle Management

Welcome to our ABA Revenue Cycle Management service, where we specialize in providing comprehensive financial management solutions tailored to meet the unique needs of Applied Behavior Analysis (ABA) therapy providers. Our expert team is dedicated to maximizing your revenue, streamlining billing processes, and ensuring healthcare and insurance regulations compliance.

Our ABA RCM Services

We offer a wide range of services designed to support ABA therapy providers throughout the entire revenue cycle:

1. Patient Intake and Registration: Efficiently collect and manage patient information.
Verify insurance coverage to ensure services are covered. Create patient profiles to facilitate billing.

2. Authorization and Eligibility Verification: Request and track authorizations for ABA therapy services. Verify patient eligibility and benefits with insurance providers. Ensure ABA services meet insurance coverage criteria.

3. Scheduling and Appointments: Streamline the scheduling of ABA therapy sessions. Coordinate appointments with therapists and patients. Handle cancellations and rescheduling to optimize your clinic's schedule.

4. Billing and Invoicing: Generate accurate and timely invoices for ABA services.
Apply the appropriate billing codes (CPT codes) for services provided.
Calculate costs based on session duration and services rendered.

5. Claim Submission: Prepare and submit insurance claims with precision.
Ensure claims are accurate, complete, and compliant with insurance guidelines.
Track the status of claim submissions to facilitate payment.

6. Payment Posting and Reconciliation: Record all payments from insurance providers, patients, or third-party payers. Reconcile payments with claims to identify discrepancies. Address denials, underpayments, or rejections efficiently.

7. Accounts Receivable Management: Manage outstanding balances professionally and with sensitivity. Send patient statements and follow-up communications. Resolve billing and payment disputes promptly and effectively.

8. Documentation and Compliance: Maintain comprehensive patient records following regulations. Ensure compliance with healthcare laws, including HIPAA. Stay updated with industry changes, coding requirements, and compliance standards.

9. Reporting and Analytics: Generate valuable financial reports, such as revenue, accounts receivable, and claim status. Analyze trends in claims, payments, and income to improve financial performance. Identify areas for process improvement within the revenue cycle.

Our Counseling Services will include: 

  • Individual, group, and family counseling
  •  School advocacy and intervention 
  • Parent education and support 
  • Medical/therapy team communication 

Our Counseling Service will help to achieve the following objectives: 

  • Developing self-esteem 
  • Solving behavior problems 
  • Addressing attention and focus issues 
  • Dealing with family Issues (divorce, trauma, sibling, etc.) 
  • Handling grief and loss 
  • Emerging from depression 
  • Battling anger and anxiety. 
  • Dealing with bullying 
  • Handling phobias 
  • Dealing with abuse (physical, emotional, sexual, etc.) 
  • Solving attachment issues 
  • Teaching social skills. Our treatment approaches will include:
  • Play therapy 
  • Family / Group Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Dysfunctional emotions / Maladaptive behaviors
  • Trauma Focused Cognitive Behavioral Therapy (TFCBT) 

Our Autism Treatment Center will provide various services and therapies to individuals with autism in Michigan. Programs will be designed to provide consistency, achieve the best results, and tailor therapies and services to respond to the community's specific needs. We also plan to teach practicum courses from our new facility. Each person in our program will participate in an individualized, comprehensive learning program designed by a team of teachers, personal care assistants, administrators, various specialists/consultants, and the individual receiving services and their parent or guardian. This approach allows for small group settings, a structured environment, ongoing assessments, parent training, year-round services, and an atmosphere of acceptance and motivation. As part of its innovative outpatient rehabilitative medicine services suite, the center will offer speech/language therapy, sensory integration therapy, physical therapy, hippotherapy, music therapy, and therapeutic yoga.

 
Recap of Services: 

  • Diagnostic Services
  • Standardized and Behavioral Assessments
  • Supervision & Consultation
  • Direct One-to-One Therapy
  • School Shadowing
  • Speech and Language Services
  • Behavior Management Services
  • Medical Procedure Facilitation Services
  • Relationship Development
  • Social Skills Groups
  • Sibling Programs
  • Training for Parents, Practitioners, and Schools
  • Workshop Services  
  • Patient Service

Regardless of the revenue, we will take every opportunity to help the public. We will outshine our competition by doing something "extra" and offering added-value services.  We will treat patients with respect, compassion, and understanding. We will take a long-term perspective and focus on the patient’s possible lifetime value to our business.

Why Choose Us

When you partner with us for ABA Revenue Cycle Management, you benefit from:

  • Expertise: Our team comprises professionals in ABA therapy and healthcare revenue management.
  • Maximized Revenue: We are dedicated to optimizing your revenue stream and reducing claim denials.
  • Compliance: We ensure strict adherence to healthcare regulations and industry standards.
  • Efficiency: Streamlined processes for faster payments and reduced administrative burdens.
  • Focus on Patients: By entrusting your financial management to us, you can focus on what you do best—providing exceptional ABA therapy.
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