We will soon be offering ABA billing services! Stay tuned for more details!
Why Choose This Workshop?
Unlike more generic billing programs, our workshop focuses specifically on ABA therapy billing, with real-world, payor-specific guidance tailored to your needs. 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), as well as major commercial payors such as Aetna, Cigna/Evernorth, Florida Blue (Lucet), Optum/UnitedHealthcare, and TRICARE.
By the end of this workshop, you’ll have a clear, actionable understanding of how to correctly bill for services across payors, avoid costly denials, and improve your agency’s cash-flow and reduce administrative burden.
What This Workshop Covers
The ABA Billing Workshop walks participants through the entire ABA revenue cycle, connecting clinical services, billing workflows, payor requirements, and compliance obligations.
Key focus areas include:
- ABA CPT Category I and III codes and appropriate use
- Provider roles and designations (billing, rendering, supervising, referring)
- Modifiers, place of service (POS) codes, and payor-specific rules
- Taxonomy codes and provider credential alignment
- Telehealth billing requirements and HIPAA considerations
- Insurance verification, intake best practices, and prior authorization
- Claim submission via clearinghouses and payor portals
- ERA/EOB interpretation and payment posting
- Cost-sharing rules (copays, coinsurance, deductibles, out-of-pocket maximums)
- Coordination of Benefits (COB) and Third-Party Liability (TPL)
- Denial management, appeals, and timely filing rules
- Accounts receivable (A/R) management and collections workflows
- Federal and payor compliance considerations, including Anti-Kickbacks and False Claims Act