ABA Therapy billing services

What is Medical billing?

Medical billing is a process that plays a vital role in existing U.S Healthcare system. This complex system consists of three P’s like patients, Providers and Payers. This process involves a medical biller submitting claims, following up on unpaid claims and appealing improper denials with health insurance companies in order to receive payment for services rendered. Medical billers facilitate the claims paying process and are often viewed as an extension of the doctor’s office reimbursement process. 

What are the benefits of outsourcing medical billing services?

The main goal is to get claims paid with the least amount of resources and at the least amount of cost. Getting claims paid requires a significant amount of time and and continual education. It’s a big investment of resources because every payer has their own rules and nuances and it is hard for the staff in a busy medical practice to keep up with the daily changes as well as to follow up on unpaid claims. Our practice management system helps with billing & maintains a ledger of all claims. Our company can significantly reduce a practice’s overhead and direct expenses on things like the cost of continual education, computers and billing software, employee expenses and etc. Our billers are experienced in getting claims paid quickly, so it makes good business sense for practices to outsource their billing to our company.

Would you like to know our Process Flow? See below, a list of carefully curated procedures involved in our ABA Therapy billing process.

  1. Eligibility
  2. Authorisation Management
  3. Scheduling
  4. Billing claims
  5. Denials/Rejections
  6. Insurance follow up/ AR calling
  7. Payments / Eob’s
  8. Patient Invoice
  9. Customized Reports