ABA Billing Services for Autism Therapy Clinics

Your clinicians should focus on improving patient outcomes not dealing with denials and payer rules. Medivatek ABA Billing Services help Applied Behavior Analysis (ABA) providers get paid faster with accurate coding, strict compliance, and denial proof billing workflows, powered by behavioral health billing experts.

Smarter Billing for ABA Therapy—From Intake to Discharge

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Why ABA Billing Requires Specialists

ABA billing is complex and highly scrutinized. It involves time-based CPT codes, authorization limits, strict supervision rules, and payer-specific documentation requirements. Even minor errors in session notes, modifiers, or units can lead to denials or clawbacks.
We specialize in ABA and behavioral health billing, ensuring accurate coding for services delivered by BCBAs, BCaBAs, and RBTs—while aligning billing with your EMR, authorization workflows, and payer contracts.

Podiatry Billing

Common ABA Billing Mistakes That Cost Revenue

We frequently see ABA providers lose significant revenue due to non-specialized billing, including:

Incorrect time-based unit calculations

Billing without active or valid authorizations

Missing supervision documentation for RBT services

Incorrect use of provider credential modifiers (HN, HO, HP)

Claims not aligned with treatment plans

Missed billing for assessments and re-authorizations

Telehealth billing errors and place-of-service issues

Delayed submissions causing timely filing denials

How Medivatek Solves ABA Billing Challenges

Clean claims submitted within 24–48 business hours

Accurate unit calculations based on session duration

Real-time authorization tracking and visit limit monitoring

Correct modifier usage based on provider credentials

Compliance with payer supervision and documentation rules

Proactive denial tracking and payer specific appeals

Coders trained exclusively in ABA and behavioral health billing

Our ABA Billing Process

Our end-to-end ABA billing workflow is designed to minimize denials, protect authorizations, and accelerate reimbursements while ensuring payer-specific compliance.

Authorization & Intake Review

Verification of payer authorizations, visit limits, provider credentials, and effective dates.

Accurate CPT & Unit Validation

Precise unit calculations based on session duration, provider role, and payer billing rules.

Claim Submission & Scrubbing

Clean claim submission with modifier accuracy, diagnosis validation, and pre-submission error checks.

Denial Management & Appeals

Active denial resolution, payer follow-ups, and appeal submissions to recover underpaid or denied claims.

Reporting & Compliance Monitoring

Transparent reports covering reimbursements, aging, authorization usage, and compliance metrics.

Is Medivantek Right for Your ABA Practice?

Medivantek ABA Billing Services are built exclusively for Applied Behavior Analysis providers who need predictable revenue, accurate billing, and full payer compliance across Medicaid and commercial plans.

ABA Therapy Clinics

Multi-location and single-location ABA therapy practices serving pediatric and adolescent populations.

BCBA-Owned Practices

Board Certified Behavior Analysts running independent or group practices requiring clean claims and audits readiness.

Autism Treatment Centers

Centers providing early intervention, intensive ABA therapy, and long-term behavioral health services.

In-Home & Telehealth ABA Providers

Practices offering home-based and telehealth ABA services with strict authorization and modifier requirements.

Full-Scope ABA Billing Services

ABA CPT Coding & Charge Entry

We ensure precise CPT coding for all ABA services including assessments, direct therapy, supervision, caregiver training, and group sessions reducing denials caused by unit errors or documentation gaps.

Insurance Eligibility & Authorization Verification

Before claims are submitted, we verify patient eligibility, authorization limits, approved services, and visit caps to prevent denials and overbilling.

Electronic Claims Submission & Payment Posting

We submit clean ABA claims through trusted clearinghouses and accurately post ERAs and EOBs, ensuring full reconciliation and steady cash flow.

Telehealth & Remote ABA Billing

Our team bills telehealth ABA services in full compliance with payer-specific rules, modifiers, and place-of-service requirements.

Modifier & Compliance Management

We apply correct provider modifiers and maintain compliance with supervision, credentialing, and payer documentation standards keeping your ABA billing audit ready.

Spec Coding Medivantek

Denial Management & Appeals

Our denial specialists analyze rejection trends, correct billing or documentation issues, and aggressively appeal denied ABA claims to recover lost revenue.

Monthly Billing & Performance Reports

Receive detailed ABA billing reports showing authorization usage, denial reasons, payer turnaround times, reimbursement trends, and revenue benchmarks.

Why ABA Providers Choose Medivatek Over Other Billing Companies

Feature Medivatek Typical Billing Company
ABA-Specific Billing Experts ✔ Yes ✖ No
Accurate Time-Based Unit Calculations ✔ Yes ✖ Often Incorrect
Authorization Tracking & Limits ✔ Included ✖ Limited
Correct Modifier Use (HN, HO, HP, HM) ✔ Yes ✖ Frequently Missed
Telehealth ABA Billing ✔ Fully Supported ✖ Inconsistent
Proactive Denial Appeals ✔ Yes ✖ Reactive
Detailed ABA Performance Reports ✔ Monthly ✖ Basic

ABA CPT Codes We Handle

Medivantek manages the complete spectrum of standard and specialized ABA CPT codes, ensuring correct modifiers, provider roles, and payer-specific billing logic.

Assessment & Evaluation Codes

97151, 97152, 97153 – Comprehensive assessments, protocol development, and technician-led services.

Direct Treatment Codes

97153 – Adaptive behavior treatment delivered by RBTs under BCBA supervision.

Supervision & Protocol Modification

97155 – BCBA-led supervision, treatment planning, and protocol adjustments.

Family & Group ABA Services

97156, 97157 – Caregiver training and group adaptive behavior treatment services.

Correct Modifier Application

HN, HO, HP modifiers applied accurately based on provider credentials and payer requirements.

Proven Results for ABA Providers

  • 99%+ first-pass claim acceptance rate
  • Up to 40% reduction in ABA claim denials within 90 days
  • Millions in ABA therapy claims processed annually
  • Expertise across Medicaid, TRICARE, BCBS, UHC, Aetna, and more
  • Support for clinic-based, home-based, and telehealth ABA providers

ABA Providers We Support

We work with a wide range of ABA and autism therapy organizations, including:

  • ABA Therapy Clinics
  • Autism Treatment Centers
  • Home-Based ABA Providers
  • School-Based ABA Programs
  • Telehealth ABA Practices
  • Multi-Location Behavioral Health Groups

Power Your ABA Practice with Smarter Billing

Let Medivatek ABA Billing Services manage your billing, authorizations, and denials so you can focus on delivering life changing care while we protect and grow your revenue.

Request a Free ABA Billing Consultation

Frequently Asked
Questions (FAQs)

Yes. We bill all standard ABA CPT codes, including 97151, 97153, 97155, 97156, and 97158. Our team ensures accurate coding for assessments, direct therapy, supervision, caregiver training, and group services in full compliance with payer guidelines.

Yes. We handle end-to-end authorization management, including benefit verification, visit limit tracking, and re-authorizations. This prevents overbilling, underbilling, and denials caused by expired or exceeded authorizations.

Yes. We bill telehealth ABA services in accordance with payer-specific telehealth policies, including correct modifiers, place-of-service codes, and documentation requirements for Medicaid and commercial payers.

We calculate ABA units based on session duration, service type, and payer rules, ensuring time-based CPT codes are billed accurately. Our team cross-checks session notes, supervision requirements, and authorization limits before claim submission.

We proactively track denial trends, identify root causes, correct coding or documentation issues, and submit payer-specific appeals. For audits, we ensure complete documentation and compliance to protect your practice from recoupments.

Yes. We apply the correct provider-credential modifiers based on whether services are delivered by BCBAs, BCaBAs, or RBTs. Proper modifier usage ensures claims align with payer requirements and reduces avoidable denials.

Yes. Our ABA billing workflows fully comply with Medicaid, TRICARE, and commercial payer guidelines. We continuously monitor policy updates to ensure ongoing compliance and protect your revenue.
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