MBH Services is a comprehensive revenue cycle management (RCM) company focused on serving practice groups
who care for children diagnosed with Autism Spectrum Disorder (ASD).

All of our clients

are practice groups who are focused on providing Applied Behavior Analysis (ABA) and may also be providing:

  • Occupational Therapy (OT)
  • Physical Therapy (PT)
  • Speech-Language Pathology (SLP)




Practice groups complain about the difficulties in dealing with insurance companies, issues include:

  • Insufficient reimbursement
  • Reimbursement less than the expected amount
  • Identifying and resolving inaccurately-processed claims

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.

SERVICES

By far more than other healthcare providers

ABA practice groups are subject to more onerous and frequently-changing rules and regulations at the federal and state levels as well as frequently-modified directives and guidelines of insurance carriers. Staying abreast of it all is a real challenge.




By far more than other medical billers

MBH helps ABA practice groups remain compliant and improve profitability, thus freeing them to focus on patient care and practice growth.

Authorization Management

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

Claim scrubbing expedites payments by reducing claim errors and the potential for denials by validating data and insurer information.
Claim scrubbing also reduces the risk of underpayments and post-payment audits.

Practice-specific Queries

We 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.

Claims Submission

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 arise and address them before they get to the carrier.

ERA Posting

Our system electronically posts all details of electronic remittances from the carrier.

Denials, Appeals, and Wrong Track Payments

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 with the carrier.

Provider Enrollment

Our provider enrollment team ensures proper and quicker enrollment for the individual providers, resulting in faster reimbursement. They also keep track of expiration dates and alert you when credentialing updates are due.

Group Enrollment

Our group enrollment team is experienced in working with insurance carriers and Medicaid to ensure smooth and proper enrollment for your group.

Single Case Agreements

If you have a patient who is covered by a carrier you are not yet participated with and a participating provider has not been identified, we can help you obtain a Single Case Agreement with the particular carrier.

ABA Practice Management Tools

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).

Reporting & Business Intelligence Tools

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.

Improved Business Process Management

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.

MBH can help you

  • Enhance practice communications, coordination, and task sharing

  • Reduce time-to-task-completion

  • Reduce errors and prevent tasks from falling through the cracks

  • Facilitate compliance

  • Increase productivity and achieve significant improvement in overall practice performance

WHY MBH

When contracting with MBH you are partnering

With an ABA expert who will add substantial value to every aspect of your practice and focus squarely on increasing profitability. We have the specialized skills, in-depth knowledge, and state-of-the-art software to help solve practice management issues and foster ongoing process improvement.

CONTACT

Dealing with ABA revenue cycle management is time-consuming and can be stressful for you and your employees. MBH’s comprehensive services let you spend more time with patients while putting your practice on solid financial footing in short order.

845.458.8755

845.510.8333

info@mbhpays.com