Our Services
Founded by Michelle Rimmer, Author of Medical Billing 101
We handle all the administrative work so you can focus on what matters most, providing exceptional care to your clients.
ABA Billing and Revenue Cycle Management
Our ABA billing and revenue cycle management services are built specifically for applied behavior analysis practices. Every aspect of your billing operation is overseen by professionals who actively train, consult, and lead within the ABA billing industry.
We manage the full revenue lifecycle with precision, ensuring faster payments, reduced denials, and predictable cash flow while maintaining strict payer and regulatory compliance.
Explore ABA Billing Services
Avoid enrollment delays and billing interruptions caused by credentialing errors.
Credentialing and Payor Enrollment
Incorrect or delayed credentialing directly impacts ABA revenue. Our credentialing and payor enrollment services ensure your providers are enrolled accurately and efficiently with commercial and Medicaid payors.
We manage the entire credentialing process to eliminate delays, rejections, and missed billing opportunities.
- Credentialing services include
- ZIndividual and group ABA credentialing
- ZMedicaid and commercial payor enrollment
- ZCAQH profile setup and ongoing maintenance
- ZRecredentialing and provider updates
- ZState and payer specific compliance management
Explore Credentialing and Payor Enrollment
Avoid enrollment delays and billing interruptions caused by credentialing errors.
Denial Management
Denied claims are one of the largest revenue leaks in ABA practices. Our denial management services go beyond resubmissions by identifying patterns, correcting root causes, and preventing future denials.
We turn denied ABA claims into recovered revenue while strengthening your billing operation.
- Denial management services include
- ZDenial analysis and categorization
- ZCorrected claims and formal appeals
- ZDirect payer follow up
- ZRoot cause identification
- ZOngoing denial trend reporting
Explore Denial Management
Stop losing revenue to preventable denials and payer issues.
Audit Defense and Compliance
Audits are an increasing reality for ABA providers. Our audit defense and compliance services help practices prepare, respond, and protect themselves against payer audits and recoupments.
We support you before, during, and after audits with structured documentation and expert guidance.
- Audit and compliance services include
- ZPre audit readiness assessments
- ZBilling and documentation compliance reviews
- ZPayer audit response support
- ZRisk identification and mitigation
- ZOngoing compliance guidance
Explore Audit Defense and Compliance
Protect your practice with proactive compliance and audit readiness support.
Compare Our ABA Billing Services
| Service Area | Typical Billing Companies | Our Services |
|---|---|---|
| ABA Billing | Basic claim submission | End to end expert led ABA billing |
| Revenue Oversight | Limited visibility | Full revenue cycle management |
| Credentialing | Forms only | Complete enrollment and follow through |
| Denial Management | Reactive resubmissions | Proactive analysis and prevention |
| Compliance | Minimal guidance | Ongoing compliance and audit readiness |
| ABA Expertise | General medical billing | ABA exclusive specialization |
| Audit Support | Not included | Active audit defense support |
| Reporting | Basic aging reports | Clear revenue and denial insights |
Your revenue deserves more than basic billing. It deserves expert led oversight.
Full Practice Management Billing Services
Streamline your billing process with our full-service management. We electronically submit claims, post payments, follow up with insurance companies, and send client statements monthly ensuring timely reimbursements, accurate records, and a smooth, stress-free experience for your practice.
Credentialing Services
Accelerate your credentialing process with our expert support. We handle application submissions, follow-ups, and communications with insurance companies while keeping you informed at every step, removing administrative burdens so you can focus on growing your practice and serving your clients.
Accounts Receivable Assistance Services
Recover unpaid claims efficiently with our proactive AR assistance. We follow up with insurance providers, resolve disputes, and ensure timely payments, helping your practice maintain healthy cash flow, reduce financial stress, and maximize revenue from all services provided.
Verification of Benefits (Add-On Service)
Verify your clients’ insurance coverage before services begin. We confirm deductibles, co-pays, co-insurance, in-network and out-of-network benefits, and ABA therapy-specific details providing clear upfront information to prevent surprises and ensure smooth, timely reimbursement for your practice.
FAQ
1. Do you specialize in ABA billing or general medical billing?
We specialize exclusively in ABA billing. Our processes, payer knowledge, and compliance standards are built specifically for applied behavior analysis providers.
2. Which payors do you work with for ABA billing?
We work with Medicaid and major commercial payors that cover ABA services. This includes managing payer specific billing rules, documentation requirements, and claim workflows.
3. How long does ABA credentialing and payor enrollment take?
Timelines vary by payor, but proper credentialing and enrollment typically takes several weeks to a few months. Our process minimizes delays and prevents rejections that slow approval.
4. How do you handle denied ABA claims?
We analyze denial trends, correct the root cause, and manage resubmissions and appeals. Our goal is not just recovery but long term denial reduction.
5. Can you support ABA practices during payer audits?
Yes. We provide audit preparation, documentation review, and direct support throughout payer audits to reduce risk and protect revenue.