ABA billing with authorizations and sessions connected.
ABA practices coordinate treatment plans, supervised teams and recurring sessions. A claim can get held up when the authorization, rendering provider or service record does not line up. We help your team keep those details connected and make the remaining approved work easier to track.
- ClaimsDocumentation review
- A/RPayer follow-up
- ReportsClear next actions
Three ways ABA claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- The delivered service exceeds the approval details
Authorizations may specify services, units, dates or providers. We compare the recorded service with the available approval and flag discrepancies.
- Practitioner roles are not clear
Assessment, supervision and direct treatment can involve different professionals. We review the documented role rather than substitute a provider for convenience.
- Units or overlapping sessions need review
Service records must support the units billed. We flag missing times or possible overlaps for the practice to resolve.
What we bill for ABA therapy teams
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How ABA accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- Map the authorized treatment workflow
We identify the plans, services, practitioner roles and records your practice uses.
- Reconcile sessions with the approval
Dates, documented units and rendering details are checked against the applicable authorization.
- Resolve exceptions with the treatment team
Questions about overlaps or incomplete records are returned for clarification.
- Track usage and outstanding claims
Reports separate authorization questions, documentation holds and payer follow-up.
Included for ABA therapy teams
- Charge review against the clinical record
- Eligibility and benefit checks within the agreed scope
- Submission and rejection follow-up
- Payer denial review and supported appeals
- Payment posting and balance reconciliation
- Aged receivable review
- Specific documentation queries for your team
- Reporting on outstanding work and next actions
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
ABA Therapy billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate ABA service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat ABA therapy teams ask
Does an authorization guarantee an ABA claim will be paid?
No. The claim must also meet eligibility, provider, documentation and other payer requirements.
Can a session be billed under a different practitioner?
The claim must accurately reflect the applicable practitioner and billing arrangement. We do not substitute a name merely to obtain payment.
Can you track authorized units?
Yes. Unit tracking can be part of the agreed workflow, using the authorization and actual service records.
Let’s review your ABA billing
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.