ABA Therapy Billing Training

Our ABA Billing Training is designed to give you and your team the knowledge, tools, and confidence to manage billing processes accurately, efficiently, and in full compliance with payer requirements. Whether you are new to ABA billing or looking to refine your existing workflow, this comprehensive training will help you strengthen your revenue cycle and reduce costly errors.

This is a 2.5-hour live training session offered one-on-one or for groups, available via Zoom or onsite at your location. Led by an AMBA-certified CMRS, CBCO, and AAPC Credentialing Specialist with years of hands-on ABA billing experience, the training combines technical guidance with practical strategies you can implement immediately.

Your training includes:

• Availity Claim Submission Walkthrough – Step-by-step guidance on navigating Availity to submit clean claims, track submissions, and avoid common errors.
• CMS-1500 Form Completion Guidance – Detailed instruction on correctly completing each field of the form to meet payer-specific requirements.
• Editable Billing Forms Templates – Ready-to-use templates to simplify your day-to-day billing tasks.
• Editable ABA Billing & Reimbursement Handbook (22 pages) – A comprehensive resource covering CPT codes, modifiers, billing workflows, and reimbursement tips.
• 7-Day Post-Training Email Q&A Support – Ongoing support to answer follow-up questions and provide clarity as you apply your new skills.
   

This training is perfect for ABA billers, practice managers, and providers who want to ensure accurate claim submissions, reduce denials, and improve cash flow. You’ll walk away with both the technical know-how and the practical tools to optimize your billing process.

Ready to strengthen your billing operations? Contact us today to schedule your ABA billing training session or book your training!

Our training goes beyond generic billing instruction by incorporating real-world, payor-specific guidance to help you navigate the unique rules of ABA billing across multiple insurance types. We place a strong emphasis on Florida Medicaid and its managed care plans, including Sunshine Health, Community Care Plan, and Carelon Behavioral Health (Simply Healthcare). You’ll also gain practical strategies for working with major commercial payors such as Aetna, Cigna/Evernorth, Florida Blue (Lucet), Optum/UnitedHealthcare, and Tricare. 

By the end of this training, you will have a clear, actionable understanding of how to correctly bill for services across payors, avoid costly denials, and ensure faster payment turnaround. This knowledge can immediately improve your agency’s cash flow and reduce the administrative burden on your team.

• Welcome and trainer introduction
• Quick disclaimer on payor policy variations.
   

• Overview of Adaptive Behavior Assessment & Treatment CPT codes (97151–97158, 0362T, 0373T).
• Understanding and applying modifiers (HN, HM, HO, HP, TS, XP, GT, Medicaid-specific).
• Code cheatsheet (Frequency codes, POS codes, taxonomy codes, and CMS 1500 qualifiers)
• Telehealth Practices
• Code Limitations
   

• Insurance verification and prior authorization process.
• Commercial vs. Medicaid/Managed Care Billing differences.
• Understanding provider roles (billing, rendering, supervising, referring).
• Claim submission workflows through payor portals and clearinghouses.
• Payment posting and AR best practices.
• Managing client financial responsibility in compliance with the No Surprises Act.
• Waiving Cost-Sharing Do's and Don'ts (Copays, coinsurances, and deductibles).
• Timely filing requirements.
   

• Common denial reasons and prevention strategies.
• Corrected claims vs. appeals.
• Medically Unlikely Edits (MUEs).
   

• Key healthcare laws for ABA billers: False Claims Act, Anti-Kickback Statute, Balance Billing Rules, No Surprises Act.
• Proactive compliance approach and internal audit tips.
   

• Availity Claim Submission: step-by-step live demo.
• CMS-1500 Form: field-by-field completion guidance.
   

• Editable Billing Forms Templates (Client Financial Responsibility Agreement, Assignment of Benefits Authorization Form, Payment Authorization Form, Credit Card Authorization Form, Insurance Verification Form, No Balance Billing Notice, and No Surprise Billing Notice).
• Editable ABA Billing & Reimbursement Policy Handbook (22 pages).
• 7-Day Post-Training Email Q&A Support for continued guidance.