About Billing Services for Autism Therapists
Billing Services for Autism Therapists is an evidence-based clinical practice for treating people with developmental disorders like autism. ABA therapy usually involves multiple practitioners, including a Registered Behavior Technician (RBT) and a Board Certified Behavior Analyst (BCBA), working with each patient to develop an individualized treatment plan.
Choosing the Right ABA Billing Services for Your Practice
Medical billing for ABA therapy is complex, with specific rules and guidelines for coding and coverage. It’s important for payers and patients that providers follow coding and billing guidelines to ensure accurate and complete documentation of therapy sessions, which are then billed to the correct insurance provider.
The process of submitting claims to insurance payers includes several steps, from confirming eligibility and prior authorization to using the right ICD-10-CM and CPT (Current Procedural Terminology) procedure codes for each session. Payers also require a valid medical diagnosis to support each ABA therapy service, typically in the form of a treatment plan signed by the patient’s physician or psychologist.
Once a therapy session is coded and submitted, the payer will typically provide an ERA (electronic remittance advice) or EOB (explanation of benefits) by email or mail that documents the breakdown of payments by session. Clinicians then apply these payments to the corresponding therapy sessions for internal tracking and patient responsibility (copay, deductible, etc).
With so many requirements for proper coding and billing, it’s often difficult for ABA therapists to keep up with changing guidelines, especially as their area of expertise is focused on helping patients. That’s why it’s essential that they have access to expert ABA billing services to help them manage the revenue cycle.