What is ABA billing?
ABA billing is the process of submitting insurance claims for ABA services and managing the revenue cycle — from verifying eligibility through coding, submission, and payment.
ABA services are typically billed to insurance using standardized CPT codes for assessment and adaptive behavior treatment, each with its own documentation and authorization requirements that vary by payer.
The revenue cycle spans verifying a client's benefits, obtaining authorizations, coding and submitting claims, and working denials and payments. Small errors or missing documentation are a common cause of denied or delayed claims.
Because it is detailed and time-consuming, practices often either use dedicated billing software to submit and track their own claims or hand the work to a managed billing service so clinicians can stay focused on care.