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Reimbursements That Match Every Hour of Care

ABA Therapy Billing Services

AnnexMed is a trusted ABA billing company for therapy practices, clinics, and multi-site providers. Our ABA billing specialists handle the complexity of session-based billing, time-tracking, and payer rules, ensuring every therapy hour gets reimbursed accurately and on time.

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    ABA RCM That Understands Your Practice

    Unlike traditional specialties, ABA therapy billing requires aligning treatment plans, session notes, time units, and authorizations. AnnexMed’s ABA revenue cycle management services streamline eligibility checks, benefit verification, CPT/ICD coding, claim submission, and appeals. We tailor workflows for solo BCBAs, group practices, and large ABA networks, helping providers focus on outcomes, not paperwork.

    ABA Billing Challenges That Drain Your Practice

    ABA billing has unique complexities, documentation and time-driven rules mean even small errors cause major revenue disruption.

    Session note gaps

    Missing SOAP or progress notes cause payers to reject ABA insurance billing claims.

    Parent training underbilling

    Failure to capture caregiver training sessions (97156) results in lost revenue opportunities.

    Time-based coding errors

    Misapplied ABA therapy billing codes or incorrect unit calculation lead to underpayments.

    Credentialing mismatches

    Billing for sessions delivered by uncredentialed techs or assistants violates ABA billing guidelines.

    Authorization & Hour Management

    Our team tracks approved hours, renewals, and utilization caps, preventing lost revenue from expired authorizations.

    Eligibility errors

    ABA coverage not confirmed upfront, leaving providers with unpaid sessions.

    Why Providers Trust AnnexMed as Their ABA Billing Partner

    As a specialized ABA therapy billing company, AnnexMed helps practices overcome the toughest billing hurdles while protecting compliance.

    Our ABA Therapy Billing Services

    ABA billing services are built around session-driven rules, requiring precision at every step. AnnexMed delivers end-to-end solutions so practices get reimbursed for every therapy hour.

    Session Documentation Review

    We validate SOAP notes, treatment plans, and supervision logs so every billed ABA session is supported with compliant documentation.

    Authorization & Hour Management

    Our team tracks approved hours, renewals, and utilization caps, preventing lost revenue from expired authorizations.

    Claims Submission with Unit Accuracy

    We submit claims with correct time units and ABA therapy billing codes, reducing rejections and underpayments.

    Credentialing Management

    From modifier usage (RR, NU, MS) to documentation accuracy, our workflows ensure alignment with CMS DME billing guidelines and payer regulations.

    Denials & AR Recovery

    Our AR specialists target denials linked to documentation gaps, authorization issues, or unit miscalculations for faster recovery.

    Parent & Group Session Billing

    We capture caregiver training (97156) and group sessions (97158), services often underbilled or overlooked by in-house teams.

    Focus on Therapy. We’ll Handle the Billing.

    Get reimbursed for every authorized session with Expert Billing for ABA therapy providers.

    Adhering to Industry Standards

    ABA Billing Compliance: Protecting Every Session, Every Claim

    Compliance in ABA therapy goes far beyond forms, it requires every billed session to match clinical documentation, treatment plans, and payer rules. AnnexMed integrates ABA billing guidelines directly into workflows by validating SOAP notes, time logs, and electronic signatures before submission. We also verify staff credentialing and supervision ratios, ensuring sessions meet payer standards for ABA medical billing services.

    In addition, our team tracks parent training and group sessions to confirm claims align with approved services, while embedding HIPAA and payer-specific ABA insurance billing regulations into each process. This layered approach keeps providers audit-ready, prevents costly recoupments, and ensures practices are consistently reimbursed for the care they deliver.

    Annexmed SOC Certification

    SOC 2 Type 1

    Reporting on controls at a service organization
    ISO Certificate

    ISO 27001:2022

    Securing and protecting information
    Annexmed ISO Certification

    ISO 9001:2015

    Achieving quality policy and quality objectives
    Annexmed SOC Certification

    SOC 2 Type 2

    Implemented the SOC 2 approved by AICPA

    Case Studies

    How Healthcare Teams Are Winning with AnnexMed

    From Errors to Excellence! Florida Ortho Practice Hits 95% Coding Accuracy

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    Case Studies

    How Healthcare Teams Are Winning with AnnexMed

    The Eligibility Fix That Freed Up Care for More Families

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    5 hours
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    Featured Blog

    Autism Therapy Billing Codes – What You Must Know

    FAQs in Outsourcing ABA Therapy Billing Services

    Why is compliance so critical in ABA therapy billing?
    Because ABA therapy billing services are time- and note-driven, even small gaps in SOAP notes, signatures, or credentialing can cause denials or post-payment audits.
    Can you ensure compliance for parent and group sessions?
    Yes. Our ABA billing specialists ensure caregiver training (97156) and group therapy (97158) claims include the documentation payers require.
    What are the most common compliance-related denials in ABA billing?
    Denials usually stem from missing session notes, incorrect units, billing uncredentialed staff, or not following payer-specific ABA billing guidelines for supervision and documentation.
    How do you handle payer-specific ABA billing rules?
    We build payer requirements directly into our workflows, ensuring claims meet coverage criteria, session limits, and modifier rules in ABA medical billing.
    How does outsourcing ABA billing improve compliance for providers?
    Working with a specialized ABA billing company reduces compliance risk by embedding checks into every step, from eligibility to AR, keeping practices audit-ready.
    What are the most common compliance-related denials in ABA billing?
    Denials usually stem from missing session notes, incorrect units, billing uncredentialed staff, or not following payer-specific ABA billing guidelines for supervision and documentation.

    Ready to Get Started?

    Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.

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