ABA Billing Services That Keep Your Practice Paid, Compliant, and Growing
Running an ABA practice is demanding. Between supervising therapists, meeting family expectations, and keeping up with payer rules, billing often becomes the weakest link. That is where Medix Revenue Group steps in.
Our ABA billing services are designed specifically for behavior analysis practices. We understand the codes, authorizations, documentation, and payer scrutiny that come with ABA therapy. More importantly, we know how to turn approved services into consistent revenue without putting your practice at compliance risk.
Why ABA Billing Is One of the Most Challenging Specialties
ABA therapy faces some of the highest denial rates in behavioral health. The challenges are not accidental. Payers actively audit ABA claims and apply strict medical necessity standards.
Many practices struggle because:
Authorizations expire mid-treatment
Units billed exceed approved limits
Modifiers are applied incorrectly
The rendering and supervising provider roles are mismatched
Session notes do not support time-based codes
Industry data shows that ABA practices can see denial rates of 20–30% or more when billing is not specialty-managed. That translates into lost revenue, rework, and staff frustration.
Medix Revenue Group understands these pain points because ABA billing is not an add-on for us. It is a dedicated service line.
Proven ABA Billing Results
ABA providers partnering with Medix Revenue Group achieve measurable improvements:
10+
Years of experience in ABA Therapy Billing
98%
Clean Claims Ratio
50%
Denial Reduction
30%
Revenue Boost
Our Specialized ABA Billing Services
We manage every stage of your revenue cycle with systems built for ABA therapy workflows.
ABA Eligibility & Benefits Verification
Before services begin, we verify benefits in detail. This includes covered ABA services, session limits, supervision requirements, and coverage for parent training. Knowing these details early prevents unpaid services later.
Authorization Management & Tracking
Authorizations are the backbone of ABA billing. We track start dates, end dates, approved units, and payer-specific rules. When reauthorization is needed, we flag it early to avoid service gaps and non-billable sessions.
Accurate ABA Coding & Modifier Use
We bill ABA-specific CPT codes correctly based on service type, provider role, and supervision requirements. This includes proper use of modifiers and place-of-service rules, which vary widely by payer.
Clean Claim Submission
Every claim is scrubbed for unit accuracy, authorization alignment, and documentation consistency before submission. Clean claims mean faster payments and fewer payer touchpoints.
Denial Management & Appeals
When denials occur, we do not write them off. We analyze the root cause, correct errors, and submit strong appeals supported by clinical documentation. Many ABA denials are reversible when appropriately handled.
Payment Posting & Reporting
We post payments accurately and provide clear reports so you always know what was billed, paid, pending, or denied. Transparency keeps you in control of your practice finances.
ABA Codes We Handle With Accuracy
ABA billing is not like standard outpatient billing. Each session depends on accurate authorization tracking, proper rendering provider setup, and clean documentation that aligns with treatment plans. One small mistake can lead to weeks of delayed payment.
ABA billing requires deep familiarity with time-based and service-specific codes. Our team regularly works with:
97151 – Behavior identification assessment
97152 – Supporting assessments
97153 – Adaptive behavior treatment by protocol
97155 – Adaptive behavior treatment with protocol modification
97156 – Family adaptive behavior treatment guidance
97157 – Multiple-family group guidance
97158 – Group adaptive behavior treatment
We ensure services are billed within payer-approved limits and aligned with treatment plans, supervision notes, and session documentation.
Compliance-First ABA Billing That Protects Your License
ABA billing errors are not just financial risks. They can trigger audits, recoupments, and compliance issues that affect your credentialing status.
Medix Revenue Group follows current payer policies, Medicaid guidelines, and commercial insurer rules. We pay close attention to:
98% Clean Claims Rate
Medical necessity documentation
Supervision and rendering provider requirements
Unit-based billing accuracy
Frequency and duration limits
Audit-ready recordkeeping
Get you paid without putting your practice under scrutiny.
Who We Support
Whether you are a growing clinic or an established organization, we scale our billing support to match your needs.
Our ABA billing services are built for:
Independent ABA clinics
Multi-location ABA practices
Autism treatment centers
School-based ABA programs
Home-based ABA service providers
Board Certified Behavior Analysts (BCBAs)
Licensed Psychologists
Therapists (including Mental Health and Rehabilitation)
Clinical Social Workers
Day Treatment Programs
Why providers are choosing Medix Revenue Group ABA Billing Services
Medix Revenue Group helps ABA providers stabilize cash flow by handling the entire billing lifecycle. We manage claims from intake to reimbursement, so you can focus on clinical outcomes while we protect your revenue.
ABA providers partner with us because we speak their language. We understand therapy workflows, not just billing software.
What sets us apart:
ABA Specialized and certified billing team
Dedicated account managers
Proactive authorization tracking
Aggressive but compliant denial follow-up
Clear, actionable financial reporting
Improve patient collections
Transparent pricing with no hidden setup or enrollment fees
Many of our ABA clients see faster reimbursement cycles and reduced write-offs within the first 90 days of working with us.
Testimonials
Client Success Stories
Hear directly from healthcare providers across the country about their experience partnering with us.
SI
Sharon Isaac
Physical Therapy
I highly recommend this billing company. They’re professional, great at what they do, and truly take the time to understand their clients needs. They’re always responsive to our questions and consistently go above and beyond our expectations. A fantastic company to work with!
Dr. Michael Harris
Family Medicine
Before working with Medix Revenue Group, we were constantly fixing small billing errors that slowed everything down. Claims would go out, come back, and then need corrections. Since the switch, submissions are clean, payments arrive when expected, and I no longer spend evenings reviewing billing reports.
Melissa Turner
Psychiatry
An excellent company to work with. We collaborate with Sam, and he is always extremely helpful. He is reliable, professional, and ensures everything gets done promptly. He also takes the time to guide me through anything I need assistance with. I highly recommend this company!
Dr. Robert Klein
Urgent Care
Our urgent care sees a high number of walk-in patients every day, and billing used to lag behind the clinical side. Medix Revenue Group posts charges the same day, tracks claims closely, and follows up without us needing to push. The difference in turnaround time is noticeable.
Dr. Sarah Nguyen
Internal Medicine
We had a backlog of older claims that never seemed to move. Medix Revenue Group reviewed them one by one, resolved outstanding issues, and improved how patient statements are sent. Billing-related calls at the front desk dropped, which helped my staff focus on patient care.
James O'Connor
Podiatry
Repeated denials were becoming a routine issue, mostly tied to coding and modifier mistakes on procedures. Medix Revenue Group reviewed our claims, corrected the problem areas, and explained what was changing through simple monthly reports. Since then, payments have been steadier and far fewer claims come back for correction
Let Your Therapists Focus on Care, Not Claims
Billing should support your mission, not distract from it. When ABA billing is done right, revenue becomes predictable, staff stress decreases, and your practice can grow with confidence.
Medix Revenue Group is here to simplify ABA billing and strengthen your financial foundation.
ABA billing relies heavily on time-based codes, strict authorization limits, and clear supervision documentation. Payers review ABA claims more closely than most behavioral health services. Each session must align with the treatment plan, approved units, and provider credentials. Even small mismatches can lead to denials or payment delays. This makes specialty handling essential for consistent reimbursement.
Authorization tracking is a core part of our ABA billing workflow. We monitor approved units, start and end dates, and payer-specific requirements. When limits are close, practices are notified early to avoid billing for non-covered sessions. This approach helps prevent revenue loss caused by expired or exceeded authorizations.
Our team works with all commonly used ABA CPT codes, including assessment, direct treatment, supervision, and family training services. Each code is billed based on service type, time requirements, and provider role. We also apply modifiers correctly when required by the payer. This keeps claims aligned with payer policies and documentation standards.
Denial reduction starts with clean claim submission and continues with strong follow-up. We review documentation, alignment of authorizations, and coding accuracy before claims go out. When denials occur, the root cause is identified and corrected. Appeals are submitted with supporting records to improve recovery rates.
We handle ABA billing for both Medicaid and commercial payers. Each plan has different coverage rules, supervision requirements, and billing limits. Our team stays up to date on payer updates to avoid compliance issues. This ensures claims are submitted correctly regardless of the insurance type.
Practices receive clear and consistent reporting on claims, payments, denials, and outstanding balances. These reports provide visibility into financial performance without overwhelming detail. Having accurate data helps providers make informed decisions about staffing, scheduling, and growth.