Dr Prem Life Improving Logo-R

Five Common Mistakes to Avoid with ABA Billing

https://pixabay.com/photos/calculator-calculation-insurance-385506/

 

Meta: If you are involved in ABA billing, these are some common mistakes to watch out for.

ABA Billing Can Go Wrong

Applied Behavior Analysis Billing, also known as ABA Billing, can be plagued with common mistakes. The good news is that these mistakes can be easily avoided if you know what to look out for. A frustrating aspect of running an ABA practice is the billing, and with clinical services, behavioral health providers can sometimes make mistakes. From ABA billing codes to helpful suggestions, there are easy ways to avoid such mistakes. Billing errors can cause many problems, such as payment delays, that then become a severe disruption for the monetary revenue of the ABA practice. Additionally, funders can easily turn around and deny providing payment for the services if there are billing errors that can lead to claims. Here are a few common mistakes to avoid with ABA billing.

 

Common Mistakes To Watch Out For

 

1.  Not correctly identifying the referral sources

When looking at ABA billing mistakes, there can be many that come to mind. However, in the sector of common mistakes, incorrectly identifying a referral source is a recurrent one. This is because sponsors often require a recommendation before someone is cleared to get ABA treatments. Because of this, it is critical to check and know whether any of your customers were suggested to your practice for services and, if so, from whom. Once that information is established, one must make sure that the referral source and their information are included, if necessary, in the filing of an ABA billing claim.

 

2.  Reporting mistakes

It is essential to report mistakes and inaccuracies in ABA billing. If and when there are inaccuracies in billing reports sent to a customer’s insurance provider, an ABA billing mistake has occurred. All it takes for a billing error is a misspelled last name, a wrong billing code, hard-to-read handwriting, missing information, or missing documents and missing signatures. As such, it is vital to report mistakes immediately if seen, as it could lead to avoiding an ABA billing error. Checking all the information is present and the spelling is error-free, among other details, can go a long way in steering clear of this common mistake. Simply make sure to put a system and timetable in place that allows the time to double-check and identify errors.

 

https://pixabay.com/photos/money-coin-investment-business-2724241/

 

3.  Not being aware of the client’s insurance cover

Before taking a client under your practice, a simple step is to check what is covered by their insurance. Unfortunately, this step is easily forgotten or overlooked. Checking what your customer’s insurance covers is an effective tool for avoiding many billing problems in the future after the services are rendered. By immediately checking the customer’s funding source for the ABA, you can see what and how much the funding source provides and how the insurance defines the ABA billing codes. By checking all of these things before rendering services, mistakes, such as providing services outside of what the customer’s funding allows, will not occur.

 

4.      Failure to submit the claims on time

The failure of on-time submission of billing claims is another common, yet easily avoidable, error that can happen in ABA practices. It is important to submit claims in accordance with the funding sources’ deadlines to ensure that you receive all of your practice’s revenues for the services rendered. As such, you should make sure to create an appropriate timeline that will help you stay on track and not lose sight of the billing duties you need to fulfill for a client.

 

https://pixabay.com/photos/entrepreneur-idea-competence-vision-1340649/

 

5.      Not understanding the billing codes

Another common mistake to avoid with ABA billing is misunderstanding the billing codes and requirements. Although it is a frequent ABA provider billing error, it can simply be avoided by specifically knowing billing codes. If ABA billing providers don’t have full knowledge and comprehension of the billing codes, there will likely be difficulties during the billing process. This is because the billing codes that are authorized by the funding source or insurance of the client won’t be understood. This is easily avoided by checking the allowed-to-be-received billing codes for the client. Once that is done, it is a matter of assessing and understanding the meaning of the codes and then fully comprehending their interpretation by the funding source, including the information that must be presented in the billing claim.

Recent Articles:

Scroll to Top