Insurance Billing for ABA is an extensive process that involves several steps before and after providing the service. Medical companies must confirm a client’s eligibility and prior-authorization, ensure the right CPT codes are used to cover the services provided, and submit clean claims to the relevant insurer. The claims must also include the correct modifiers and comply with state and payer guidelines. These processes vary based on whether the medical company is in-network or out-of-network, and can be further complicated by the different reimbursement rates and guidelines set by various payers. Go here: https://operantbilling.com
What to Look for in ABA Billing Companies
One of the biggest reasons behind medical billing errors is the inability to correctly document client information, such as their name, date of birth, and policy number. Even simple mistakes like these can result in denied claims, delayed payments, and lost revenue for the medical company. Medical companies should ensure their staff has the proper training to avoid these errors and ensure compliance with billing requirements.
Another common problem is not promptly collecting copays and other client contributions. This can lead to difficulties when reconciling a claim, which will require additional time and resources from the billing department. Having the proper software and procedures in place to collect these amounts can help reduce this problem.
