Raven 360: Pair Tree Autism Services Case Study

Raven 360: Pair Tree Autism Services Case Study

 

Transforming Billing with Raven 360

About the case study: New ABA therapy clinic Pair Tree Autism Services quickly established itself as a leader in client-focused care in the state of Indiana. However, as is seen with many ABA startups, the administrative burden of managing a growing practice became a challenging hurdle for the startup. Pair Tree’s owner, Shalan Baker, BCBA, faced the daily grind of overwhelming paperwork, disjointed billing processes, and delayed revenue cycles that distracted her team’s focus away from client care.

📌 Key Benefits:

  • Enrollment and Eligibility: Streamlining the payment process by ensuring services were accurately aligned with payer requirements from the start.
  • Revenue Capture: Pair Tree could see claim acceptance rates for clearinghouses and payers at close to 100% validation and acknowledgment. Within 24 hours of claims being sent, they were adjudicated in payers’ systems.
  • Accelerated Payments: Once enrolled and approved for electronic remittance, claim payments were wired to Pair Tree’s bank and the payments were automatically posted to the claims within two days of final adjudication.
  • Insightful Reporting: Pair Tree received deep insights into payer behaviors, acceptance rates, and remittance advice, facilitating informed decision-making.

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Raven 360: Integrated Managed Billing for ABA Therapy Providers

Raven 360: Integrated Managed Billing for ABA Therapy Providers

Billing shouldn’t be complicated, but with so many options out there it can be. Managing billing needs to be straightforward and streamlined, which is why we created Raven 360. Our comprehensive solution is designed to help you maximize efficiency and increase your profitability without all of the hassle. With a streamlined process, independent auditing services, and accurate reporting, you can rest easy knowing that your billing needs are being met.

What exactly is Managed Billing?

Frustrated by claims management, endless payer resubmissions, and having to wait weeks or months to get paid for services? Raven Health is here to help. Our managed billing services are fully integrated and handled by us at Raven, including solutions that handle invoicing, payment processing, and financial management. Our solutions alleviate the administrative burdens associated with clinic management, encompassing streamlined billing processes, increased collections, and accelerated payment cycles; allowing you to set your focus on delivering great client care.

How can Raven Health help your clinic navigate billing?

Small to Medium-Sized (SMB) ABA therapy providers face significant challenges in managing billing processes, including time-consuming manual entries, high denial rates, and the struggle to reconcile therapy session data with billing requirements. These issues not only consume valuable resources, but also delay and decline reimbursements, affecting the financial health and operational efficiency of ABA therapy providers.

  • Seamless Integration: Our managed billing platform effortlessly merges with Raven’s leading data collection platform, ensuring that information from therapy sessions is automatically utilized for billing purposes.
  • Automated Claim Reimbursement: It’s time to say goodbye to manual claim submissions. Our platform automates the entire process, from claim creation to submission, leveraging session data to ensure accuracy and timeliness.
  • Proactive Denial Management: We don’t just submit your claims; we actively manage them. Our platform and ABA billing experts identify potential denial triggers before submission and addresses them, drastically reducing denial rates.
  • Real-time Financial Dashboard: Access comprehensive insights into your billing cycle, from submitted claims to reimbursements and denials, all in real time.

At Raven Health, we love listening to our customers and hearing about their biggest challenges in growing a successful ABA clinic. Through this, we recognized a pressing need within the SMB ABA therapy community—the need for a more efficient, accurate, and streamlined billing process. Too many of our partners were bogged down by the complexities of billing and claim management, detracting from their primary mission of providing exceptional care. This is why we developed our integrated managed billing platform. By harnessing the power of automation, seamless data integration, and our network of ABA billing experts, we’re not just simplifying billing; we’re transforming it into a strategic asset for ABA providers. Our goal is to ensure that every provider can focus on what they do best—caring for their patients—without the constant worry of billing-related issues. With Raven Health’s platform, we’re setting a new standard for financial management in ABA therapy, and we’re excited to see how it empowers providers and enhances the quality of care across the industry.

Richard Wagner

CEO, Raven Health