RevenueMedics delivers specialized ABA therapy billing services with authorization tracking, unit-accurate claims and dedicated follow-up that puts money back in your practice — so you can focus on changing lives.
Authorizations
Tracked & renewed
Units
Checked per session
Denials
Root-cause follow-up
Reporting
Monthly
From patient intake to payment posting, RevenueMedics handles every aspect of your ABA billing cycle with precision and expertise.
Complete claim submission, payment posting, and patient statement generation for all ABA therapy sessions.
Expert coders specializing in ABA-specific CPT codes, HCPCS modifiers, and ICD-10 diagnosis pairing for autism spectrum disorders.
Full-spectrum RCM optimized for ABA practices — from eligibility verification through final payment reconciliation and reporting.
Navigate complex ABA authorization requirements with our dedicated team that handles initial auth, extensions, and peer-to-peer reviews.
Root cause analysis, timely appeals and prevention for ABA-specific denial reasons.
Fast-track credentialing and enrollment with all major ABA insurance panels. We handle paperwork, follow-ups, and re-credentialing.
General medical billing companies don't understand ABA. We do. Our team is trained specifically in applied behavior analysis billing — from unit calculations to authorization nuances to state mandate compliance.
Our billers are trained exclusively in ABA therapy billing — not juggling cardiology, orthopedics, and ABA on the same desk.
We follow the ABA coverage rules in the states where you practice and apply them to your claims.
Track your ABA revenue in real-time — clean claims, denials, A/R aging, and payer performance at a glance.
You get a dedicated billing coordinator, coder, and denial specialist — not a rotating pool of generalists.
Our ABA billing workflow is built to catch the errors that cost ABA practices money, session by session.
Verify insurance eligibility, ABA benefits, and authorization requirements before the first session.
Secure prior authorizations, track units against auth limits, and monitor session documentation compliance.
Accurate ABA coding with proper modifiers and electronic submission for instant acceptance and faster payment.
Post payments, resolve denials within 24 hours, and manage A/R to ensure every dollar is collected.
These are the specific ABA billing problems that cost practices thousands every month. RevenueMedics eliminates all of them.
ABA sessions billed in 15-minute units often have math errors that cause denials. We check unit calculations against session time before claims go out.
Sessions rendered after auth expiration are automatically denied. We track expiration dates and flag renewals before they lapse.
Billing overlapping RBT direct treatment and BCBA supervision on the same day requires precision coding we specialize in.
Payers demand specific session note elements tied to the BIP. We guide your clinicians on documentation that passes every time.
Each state has different ABA coverage requirements, age limits, and provider qualifications. We keep your claims compliant everywhere.
Payers routinely underpay ABA claims. We audit every EOB/ERA and fight for every dollar you're contractually owed.
Everything you need to know about our ABA billing services.
The primary CPT codes for ABA therapy are 97151 (Behavior id assessment by physician), 97152 (Supplementary assessment by tech), 97153 (Adaptive treatment by tech), 97154 (Adaptive treatment with protocol modification), 97155 (Adaptive treatment by physician), 97156 (Physician with protocol modification), 97157 (Group treatment by tech), and 97158 (Group treatment by physician). RevenueMedics experts ensure accurate code selection and modifier application for every session.
Pricing depends on session volume, payer mix and the services you need. We give you a written quote after a short review of your current billing.
We review each denied ABA claim, identify the root cause, such as authorization issues, incorrect modifiers, unit calculation errors or coding mismatches, and file corrected claims or appeals with the documentation the payer needs.
Yes. We handle enrollment with commercial payers, Tricare and Medicaid programs that cover ABA. Timelines vary by payer, so we track each application and manage re-credentialing to prevent lapses.
ABA billing is uniquely complex due to multiple session types per day, varying technician vs. BCBA supervision ratios, unit-based calculations (per 15 minutes), state-specific ABA mandates, authorization requirements that vary by payer, and the need for detailed session notes linking treatment to the behavior intervention plan. RevenueMedics specializes exclusively in these ABA-specific billing nuances that general billers consistently get wrong.
We can have your ABA billing operational within 48-72 hours. Our onboarding process includes EHR integration, payer enrollment review, team assignment, and a complete audit of your existing A/R. Most practices see their first clean claims submitted within the first week. There's zero downtime during transition.
Get a detailed audit of your current ABA billing performance — including identified revenue leaks, denial patterns, and a projected ROI from switching to RevenueMedics. No obligation, no pressure.