Authorization ledger
Track the approved service, dates and units. Compare delivered and billed units before additional claims enter the queue.
ABA & Autism Services BILLING SUPPORT
Keep approved units connected to delivered services.
ABA operations bring together assessment, treatment, supervision and family guidance. Billing support starts with the authorization record and the person who delivered each service.
WHERE THE WORK GETS STUCK
The claim starts before submission.
Authorized units can be consumed across staff, dates and service types. A schedule total does not establish which units remain or whether the billed provider and service match the approval.
SPECIFIC OPERATIONAL CHECKS
What we connect in the workflow.
Service and staff alignment
Match records to the service performed and staff credentials. Clarify supervision and protocol modification records rather than treating all contact as interchangeable.
Overlaps and payer edits
Review overlapping sessions, rendering details and payer requests for documentation. Keep exceptions visible by authorization period.
ILLUSTRATIVE CODE REFERENCES
Small details.
Different claim questions.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| 97151 | Behavior identification assessment | Check the recorded assessment work and approval scope. |
| 97153 | Treatment by protocol example | Match the delivered service, staff and units to the record. |
| 97155 | Protocol modification example | Documentation must support the actual professional work. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
WHAT YOUR PRACTICE RECEIVES
Clear exceptions.
A visible next action.
A service-specific unit balance, a provider and authorization checklist and claim exceptions tied to the relevant approval.
- A named owner and agreed communication plan
- Enrollment and payment setup gaps included in the review
- Written scope before access or service begins
CLAIM VOLUME AND SCOPE
Use your workload, not an industry guess.
We review authorized units, scheduled hours, delivered services and staffing patterns. These do not translate into one standard claim count.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMBEFORE WE BEGIN
Agree on the details that affect delivery.
We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
CONNECT THE DETAILS
Start with your practice, not a generic proposal.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.