Anyone involved in ABA billing is aware of the many added obstacles involved in receiving proper payment for their claims.
As experts in ABA revenue cycle management, MBH cuts through the obstacles and ensures that your practice is collecting full payment for services rendered.
Our experience in pre-authorization and authorization management will reduce costly appeals, expedite payments, and ensure that renewals are processed before expiration. Because we are experts in each carrier’s methods, we can process claims with the proper clinical support documentation on the initial submission.
Claim scrubbing also expedites payments by reducing claim errors and the potential for denial. It involves validating data including patient, insured, provider, and insurer information and codes for diagnosis, procedure, and revenue. Claim scrubbing also reduces the risk of underpayments and post-payment audits.
MBH can establish custom rules for your practice that will expedite payments. We can run practice-specific queries to identify items that require attention before claims are submitted.
We submit claims electronically using state-of-the-art software that is integrated with the clearinghouse. This allows us to be on top of issues that ariseand address them before they get to the carrier.
Our system electronically posts all details of electronic remittances from the carrier.
Approximately 80% of ABA claims submitted would be wrongly paid if they were not tracked. Our automated tracking system allows us to monitor the progress of every claim and intervene when necessary to expedite processing. If denied, we process appeals directly with the carrier; when difficulties arise we contact the state to help resolve the issue.
Our credentialing services help ensure faster, easier network enrollment for faster reimbursements. We also keep track of expiration dates and alert you when credentialing updates are due.
MBH’s professional negotiation team is experienced in working with insurance carriers to secure fair reimbursement rates for your practice.
If you have a patient who is not covered by a carrier you participate with and have not identified a participating provider for the patient, MBH can help you negotiate a Single Case Agreement with a particular carrier.
Our zero-footprint, advanced, easy-to-use practice management tools address the unique needs of ABA practices and can help you operate more efficiently (e.g., scheduling, data collection, graphs, program/goal tracking, time sheets).
The ability to easily generate audit and management reports with up-to-date information is key to successful practice management. We can help you design reports for a range of purposes that will help improve productivity, cash flow, compliance, and patient care.
Based on our knowledge of ABA practice business processes, we can recommend ways to improve scheduling, treatment planning, data collection, and numerous other functions that will improve patient outcomes and caregiver satisfaction while positioning your practice for financial stability and long-term growth.