ABA Billing FAQs

ABA Billing is the process of collecting and managing payment for applied behavior analysis (ABA) services. Medical facilities and individuals that provide ABA therapy require detailed data collection and documentation to support a successful billing claim, including thorough progress notes and session summaries. Incorrect coding procedures and inaccurate therapist information can result in denied or delayed claims and lost income, ultimately jeopardizing the financial sustainability of an ABA practice.

Best Practices for Efficient ABA Billing

It’s important for healthcare professionals to understand ABA billing codes, regulations and other unique aspects of this treatment option. ABA Therapy billing is complicated by the ever-changing landscape of medical insurance policies, regulations and coding requirements, which can be challenging to keep up with.

The ABA world is abuzz with the new CPT codes for ABA, which are set to take effect in 2019 and will change the way that behavioral healthcare practitioners document their services. While the CPT Editorial Panel has announced these updates, it will likely be months before payors fully implement them. To help you get prepared for these changes, we’ve assembled a list of the most important ABA Billing FAQs.

Incorrect Data Entry Errors

Human error is a reality in any healthcare setting, and it’s especially common for ABA practices with complex medical records and overlapping terminology. Misspellings, typing errors and other superficial mistakes can deny a claim or delay its processing by medical insurance providers, so it’s crucial to teach your staff the importance of proofreading, particularly when entering client details into a system.