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Top 5 ABA Therapy Billing Companies for Therapy Providers

ABA therapy billing

Last Updated on September 16, 2025

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Ask any ABA therapy provider what their biggest administrative hurdle is, and billing is likely to top the list. 

Not because it’s just tedious, but because it directly impacts patient access, staff morale, and long-term sustainability of the practice.

ABA Therapy is Growing, But So Are Billing Challenges

“ABA therapy was valued at USD 4 billion in 2023, with a forecasted growth rate of 4.8% CAGR between 2024 and 2032. According to CDC The growing global incidence of Autism Spectrum Disorder, now affecting about 1 in 31 children in the U.S., drives higher demand for effective therapies like ABA”

But when reimbursements are delayed or denied, the consequences ripple across your organization. It can disrupt therapy schedules, add stress to your front desk team, and even impact patient continuity of care. 

Why More ABA Providers Are Turning to Specialized Billing Companies

With evolving payer policies, complex authorization requirements, and CPT codes that vary by time and service, ABA billing services are anything but straightforward.

That’s why more practices, large and small, are partnering with ABA billing companies that understand both the medical billing landscape and the unique intricacies of behavioral health. 

Whether you’re a solo BCBA or manage a multi-state ABA group, having the right billing company by your side can reduce denials, increase collections, and give you back the time and energy to focus on clinical care.

Top ABA Therapy Billing Companies to Consider

Choosing the right ABA billing partner can make or break your revenue cycle. Below are five companies that stand out for their expertise in ABA therapy billing, clean claim rates, and behavioral health support.

  1. Annexmed 
  2. Omega Healthcare
  3. Access Healthcare
  4. Plutus Health
  5. Medical Billing Wholesalers

1. AnnexMed

Trusted by ABA therapy providers for its high claim accuracy and behavioral health focus.

With over 20 years of experience in healthcare revenue cycle management, AnnexMed brings deep domain expertise to the world of ABA therapy billing. What sets AnnexMed apart is its ability to tailor solutions for both large and small ABA practices, ensuring scalability without sacrificing personalization.

AnnexMed’s dedicated ABA billing team is trained on the nuances of behavioral health billing, including real-time eligibility checks, prior authorization workflows, CPT-specific coding, and denial prevention. Having worked closely with providers who deliver ABA therapy to children with Autism Spectrum Disorder, AnnexMed understands the unique documentation and billing requirements associated with ASD-related care ensuring accuracy, compliance, and timely reimbursements.

Try Our ABA Billing Services Free for 30 Days

Experience faster reimbursements and fewer denials with our full-cycle billing support — specifically designed for behavioral health providers.

More than just billing, AnnexMed offers end-to-end ABA billing services, from patient access to denial recovery, backed by certified coders and experienced AR follow-up teams. The company’s transparent reporting, regular audit reviews, and dedicated account managers give ABA providers full visibility into their financial performance.

What makes AnnexMed especially valuable is its focus on results. ABA providers often see improved collection rates within the first 90 days of partnering, thanks to their outcome-driven process and data-backed workflows. For practices looking for a long-term, performance-oriented partner, AnnexMed is a strong contender among the best ABA billing companies in the market today.

2. Omega Healthcare

Scalable solutions with deep domain experience in RCM.

Omega Healthcare has established itself as a trusted name among ABA medical billing companies, with a strong footprint in behavioral health billing, including ABA therapy. With operations spanning across continents and a workforce of experienced billing professionals, Omega combines global scale with domain-specific expertise.

For ABA therapy practices, Omega provides comprehensive billing support that includes charge entry, claims submission, insurance verification, and denial management. Their teams are well-versed in payer-specific ABA billing guidelines and work closely with providers to maintain documentation accuracy and compliance.

One of Omega’s biggest strengths is its infrastructure. The company leverages automation, analytics, and workflow tools to streamline the revenue cycle. This means fewer billing errors, faster reimbursements, and better cash flow for ABA providers.

3. Access Healthcare

End-to-end Medical billing support for multi-speciality practices

Known for its process excellence and technology-backed services, Access Healthcare delivers tailored solutions to ABA therapy providers through a blend of skilled manpower and proprietary tools. The company’s deep bench of billing specialists ensures accurate charge capture, coding, and timely submission of claims.

Access Healthcare takes a partnership-driven approach to billing services, working closely with providers to understand their workflows, reduce administrative burdens, and improve collections. Their teams are trained in ABA-specific coding, modifier usage, and pre-authorization requirements, ensuring high first-pass claim acceptance.

The company also provides powerful dashboards and reporting tools that give providers real-time insights into billing KPIs.

This focus on visibility helps ABA practices make informed financial decisions and improve billing performance over time.

4. Plutus Health

Strong technology platform and payer follow-up capabilities

Plutus Health brings a tech-forward approach to ABA billing services, combining automation with personalized support. Their ABA billing division is designed to reduce administrative overhead and improve practice profitability through clean claims, fast payments, and continuous process improvement.

Plutus Health offers end-to-end support for ABA insurance billing, including patient eligibility, claim submission, denial resolution, and AR management. Their solutions are tailored to individual practice needs, whether it’s a solo BCBA or a multi-location practice, ensuring that billing complexity never hinders growth.

With a strong focus on compliance and documentation, Plutus helps ABA providers avoid common reimbursement pitfalls while maintaining payer relationships. Their consultative support model also helps clients optimize their billing processes over time.

5. Medical Billing Wholesalers

Known for flexibility and support across ABA and related specialities

Rounding out our list is Medical Billing Wholesalers (MBW), a company that delivers cost-effective and expert-driven billing solutions to ABA therapy providers. MBW’s strength lies in its ability to customize its services to fit practices of all sizes, from startups to enterprise-level organizations.

Their team includes certified medical billers and coders who specialize in ABA billing regulations and payer-specific nuances. From managing claim submissions to following up on unpaid accounts, MBW ensures that providers can focus on therapy while the revenue cycle runs smoothly in the background.

MBW also emphasizes measurable outcomes. Their clients report reduced days in AR and improved net collections thanks to a focused approach on accuracy and persistence. For ABA providers that want a solid, experienced billing partner without the overhead of building internal teams, MBW is a strong option to consider.

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Choosing the Best ABA Billing Company for Your Practice

Not all ABA billing companies are created equal. Some are built for scalability, leveraging advanced technology platforms and automation, while others offer a more hands-on, white-glove service experience. 

Some specialize exclusively in behavioral health billing, while others serve a broader range of medical specialties. Choosing the right partner depends on your practice’s unique needs and growth goals.

Here are a few things to consider before selecting your billing partner:

Speciality experience:

ABA therapy billing is highly specialized and differs significantly from general medical billing. Choose a company with in-depth knowledge of behavioral health, CPT coding for ABA, and payer-specific rules. Proven experience in working with ABA providers ensures fewer errors, faster reimbursements, and better denial management.

Compliance track record:

Trustworthy billing partners prioritize security and regulatory compliance. Look for companies that are SOC 2 Type II certified, fully HIPAA-compliant, and have robust internal audit processes. These safeguards protect sensitive patient data and ensure adherence to healthcare laws and payer guidelines.

Visibility and transparency:

You should never have to guess where your money is. A good ABA billing company will offer real-time reporting, dashboard access, and full transparency into claim statuses, aging reports, and performance KPIs. This level of visibility helps you make informed financial decisions and track the health of your revenue cycle.

Scalability:

Your billing partner should be able to grow with you. Whether you’re a solo BCBA or expanding to multiple locations, make sure the company offers scalable infrastructure, staffing flexibility, and process adaptability to support your growth without sacrificing accuracy or turnaround time.

Dedicated support: 

Behind every successful practice is a responsive billing team. Look for ABA Billing companies that assign dedicated account managers who understand your specific workflows, payer mix, and authorization requirements. Consistent communication and knowledgeable support can significantly reduce billing delays and errors.

Whether you’re just launching your practice or looking to improve an under performing revenue cycle, the right ABA billing company can make all the difference. With specialised partners like Annexmed, you don’t have to tackle the billing maze alone!

FAQs for ABA Therapy Billing

1. What are your pricing and contract terms?

We offer competitive pricing with flexible models, including, hourly, FTE and  percentage-based. There are no long-term lock-in contracts. We believe in earning your trust month over month, not binding you into lengthy agreements.

2. What kind of results can I expect in the first 90 days?

Most of our ABA clients report improvements in clean claim rates and collections within the first 60–90 days. We focus on quick onboarding, root cause analysis of past denials, and faster AR recovery to drive results from Day 1.

3. Can I outsource only part of my ABA therapy billing process?

Yes. Whether it’s eligibility checks, claims submission, denial management, or full-cycle ABA therapy billing, AnnexMed offers modular services tailored to your specific operational needs.

4. What makes AnnexMed different from other ABA billing companies?

Unlike many ABA billing companies that offer generic solutions, AnnexMed provides tailored billing support specifically designed for ABA therapy practices. Our dedicated team, specialized tools, and outcome-based approach help improve collections and reduce denials in just a few weeks.

5. How does AnnexMed ensure clean claims and fewer rejections?

Yes. AnnexMed is one of the few ABA billing companies equally equipped to handle both Medicaid and commercial claims. We adapt to each state’s unique requirements, including EVV mandates and authorization rules.

Stress-Free ABA Billing Starts with a Free Trial

Specialized ABA billing — faster claims, fewer denials. Full support from day one.

  • 20+ years in RCM & behavioral health
  • 100% ABA-specialized billing team
  • CPT code-level accuracy and compliance
  • Faster claims, fewer denials
  • Transparent reports & dashboards
  • Dedicated ABA account manager
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