Enhancing Practice Efficiency with ABA Billing Support

Benefits of Using ABA Practice Management Software

Businesses are taking advantage of a complete revenue cycle solution that manages every area of the collection and billing process. If you are a relatively new company, you can gain all the help you need to ensure your company uses the best practices to maximize the revenue you make. For those who are already established but want to take the next step on their business journey, gaining expertise helps remove all the administrative stresses that come with billing, enabling you to grow your business. No matter the stages of your business, you can get the help you require to provide the highest possible quality patient care available.

Patient billing

As patients hold more responsibility regarding healthcare costs, patient ABA billing has become one of the most crucial areas of the revenue cycle. Offering compassion to the family of the patients, and the patients themselves, may seem detrimental when it comes to reimbursement. Using an RCM solution combines flexible policies, structured processes, and technologies that give a convenient and more targeted approach surrounding payment that meets both objectives.

The combination of best practices with the policies you hold within your organization helps to design your patient billing process and communication protocols to make sure that patient experience is always above and beyond what is expected from an alternative billing partner. Our customized patient statements can be used in emails and mail, online payment portals, and payment plans based on the patient’s current financial situation. This flexibility within a billing option is the perfect tool, while also meeting goals in your revenue cycle.

Implementation

Introducing a new revenue cycle management (RCM) solution can be a difficult task, but by using a dedicated service with years of ABA, expertise, experience, and onboarding processes, the transaction can be as smooth as possible.

Your existing payer contracts will be analyzed to ensure payer enrollments and fee schedules are correctly organized. All of your patient’s benefits will be verified, and any outstanding authorizations will be completed. The billing preferences of your choice will be configured into a new system and then documented into standard operations. All your individual processes will run smoothly before the transitioning management is transferred. Each transition is observed and analyzed to ensure it runs as smoothly as possible.

Eligibility & benefits

Navigating patients’ benefits is time-consuming and challenging. Any mistakes or inaccuracies can be a very costly affair. Comprehensive eligibility verifications are completed to mitigate any risk when any software is introduced into your company.

Relaying benefit information to patients is vital to every business. Your clinical care can be streamlined with the addition of ABA software, which can notify your patients of anything from:

• Deductibles
• Copays
• Out-of-pocket maximums

Appeals management

In some circumstances, an appeal could be necessary whenever a claim or authorization request is denied in part or in full. These appeals would typically require medical necessity rationale to support services. You will be guided by the team behind your ABA software to determine the payer’s appeal policy.

The ABA medical necessity knowledge has enabled the team behind certain software to successfully overturn denials and collect payments. This is a big benefit for your business, as you will gain the money you deserve and not lose out to unlawful appeals. You can continue to offer the best quality service to your patients while a team of specialists fight battles with payers to generate your revenue.

Pre-authorization

All payers need authorization before any services are rendered. One of the most critical aspects surrounding this requirement is to demonstrate the necessity of medical help. Authorization specialists have a full grasp of medical necessity requirements and will work to gather everything for complete authorization for the full treatment.

Claims management

To meet payer billing guidelines, claims require timely reimbursement. The team of billing specialists will ensure that all claims meet payer-specific guidelines. The team behind ABA software will maintain up-to-date edits in the claims processing system to stop any claim rejections and monitor any processes or acceptances of monitor claims. The goal is to cut down the time from when a claim is submitted all the way to when the payment is received.

Accounts receivable follow-up

The accounts receivable team features payer intelligence that allows the successful obtaining of full reimbursements for any billed services. At the very center of the RCM will be an accounts receivable team of billing experts who will serve as supporters for your patients and you. ABA providers can collect revenue using this hands-on approach that could be otherwise missed, or simply not equipped to make a pursual.