Streamline your
ABA Billing & Collections
With Ease
Billing and collections for Applied Behavior Analysis (ABA) is challenging.
Unable to file a clean claim despite multiple attempts?
Connect with Plutus Health, if you are searching for the best ABA therapy billing and collections company.
Plutus Health Can Do Wonders for Your Practice
Highly experienced ABA billers
End-to-end ABA RCM services
One-click support 24/7* 365 days
ABA therapy providers love us
Insurance billing for Applied Behavior Analysis (ABA) is not easy. ABA coding remains a challenge area because of the POS and Modifier variations based on Plans, State and Provider Credentials, and Telehealth-related guidelines. Additionally, Medicaid or Early Intervention Programs (EIP) billing in each state has different portals or protocols! Plutus Health understands that your clients come first. The billing and revenue are essential to sustaining your ABA practice and reducing waitlists to serve larger groups of such kids with special needs. We will:
Scale with your organization’s growth plans
Plutus Health has provided ABA-specific billing and collections services for over 7 years. Our ABA billing experts have deep knowledge of the ABA billing process and advise practices on handling specific persistent denials from each payer.
Understand current ABA billing changes
Team of certified ABA therapy billers and coders with decades of experience. Our team has implemented changes related to the eight new Category I codes and two revised Category III codes for billing ABA therapy services.
Simplified ABA denial management
When claim rejections or denials occur, we deploy a rigorous denials management strategy for our customers. Our ABA Billing company gained insight as to why the claim got denied, and we work immediately to correct the issue and prevent the denial from reappearing in the future.
Understand medicaid ABA billing
Billing ABA services through Medicaid is a constant challenge. With thousands of ABA claims submitted successfully to Medicaid of several states, our team knows the intricacies of billing these mandated services and how to maximize reimbursement for our providers.
Audit Session Notes
Plutus Health’s team of professionals know that ABA therapist has a lot on their plate. We audit & train ABA providers on taking Session Notes. We help with administrative details like billing and collection. We also advise practices on handling specific persistent denials and delivering better outcomes for clients with our ABA billing solutions.
Prior Authorization to avoid audits
Many payers have initiated processes to start auditing the ABA services though there is a Prior-Authorization for most of these services. Plutus Health’s ABA billing services ensure that you have nothing to worry about, even if audited, as we take prior authorization for all the services you offer your clients. Our ABA medical billing fully complies with the existing ABA and HIPAA rules.
Tracking & Forecasting Tools
Track payments in real-time and forecast your revenue pipeline with precision. Our intelligent billing platform provides a clear view of each claim’s journey, from submission to settlement, so you’re always on top of it all.
Dedicated Reporting Specialist
We tailor your analytics to your custom KPIs and showcase all your critical metrics in a single view. Plus, you get a dedicated reporting specialist who monitors your financial performance and helps you make strategic decisions faster.
Do you know how much money your ABA agency is
leaving on the table?
Need help from a dedicated team of eligibility, billing, payments, and AR/Denials experts?
Do not wait to approach Plutus Health, the best ABA billing and collections company. Plutus Health's ABA revenue cycle management solutions can help you achieve financial stability and focus on delivering exceptional care.
- Decrease your rate of denials
- Improve your coding errors with correct modifiers and POS codes
- Improve your falling cash flow
- Decrease your rate of rejections
- Improve your pre-authorization and eligibility processes
- Increase patient collections
Consult the best ABA therapy billing and collections company
Insurance payers have begun auditing the ABA services though there is a prior-authorization for most of these services.
Plutus Health’s tech-enabled ABA billing services ensure you have nothing to worry about, even if audited. Our billing is fully compliant with the existing rules for ABA and HIPAA.
1
Regular audits
Conduct extensive and regular pre-billing audits to reduce the denials
2
Payment monitoring
Constantly monitor your payments vs. contracts to prevent underpayments
3
Priority A/R & denial management
Handle A/R on priority and denials within 72 hours
Plutus Health assists ABA companies and therapists with the following issues:
- Complex billing and coding
- Continuously changing CPT codes
- Billing complications due to the involvement of multiple therapists
- Entering appropriate patient data
- Patient eligibility verification
- Extensive documentation
- Duplicate record generation
- Missing claim submission deadlines
Schedule a call with an ABA expert
Bring back your business from the brink with Plutus Health as your ABA Therapy Partner
Plutus Health provides guaranteed results
Turn around time
ABA practices have seen the average turnaround time drop down to
48Hours
Clean claim percentage
The clean claim percentage of ABA practices reached
95%
Patient collection
Automatic payment collections have risen to
35%
Contracted value collection
The average (NCPR) Collections have reached whopping reimbursement of
98%
Denial rates
Brought average denial rates for ABA practices to
5%
A/R days
A/R (Accounts Receivable) days for all practices working with Plutus Health are reduced to
25Days
Insurance payer audits in ABA
Plutus Health as your ABA therapy partner has the depth of expertise in handling ABA billing on multiple ABA practice management software platforms like Central Reach, Artemis ABA, Total ABA, NPA Works, Acupoint, Practicesuite, MeasurePM, Rethink*, etc. (*all names and trademarks belong to respective companies)
In addition to payer-side reviews, we also offer Fee Schedule Auditing — ensuring your billed rates align with contracted payor agreements, identifying underpayments, and optimizing your reimbursement structure to maximize your revenue.
Plutus Health expertise in ABA therapy coding
Coding for ABA seems simple but has many complications due to the extension of therapy sessions and the involvement of multiple therapists. Plutus Health’s coders have complete knowledge of CPT codes used while submitting claims for the ABA and work extensively to file clean claims.
Claim Validation - by Payor and Treatment Type
Our billing workflows are built with payor-specific claim rules and treatment-specific validations that catch issues before they reach the payer. From CPT code logic to session-level compliance checks, we ensure every claim aligns with the exact requirements of each insurance provider - reducing denials, rework, and delays.
Who is Plutus Health?
Plutus Health, the best ABA billing company, is your one-stop solution for all your ABA RCM needs. With over 15 years of experience, we specialize in crafting the most effective medical billing and collections services specifically designed for ABA providers.
- Get paid faster as we bring your claim denials to almost zero and get you the first pass ratio you always wanted
- Real-time updates of all the processes we follow using our ABA practice management software.
- Continuous assistance right from when clients book an appointment until you get paid to even assisting in client retention
- A reliable ABA billing specialist whom you can trust to outsource your ABA billing and collections services
- Plutus Health’s professionals guide ABA therapists in creating intervention plans and its timeline, progress monitoring method, and strategy
Our happy clients
After years of looking and switching to different companies for our ABA coding and billing outsourcing, we finally found Plutus Health, a company that delivers on its word. We were very impressed with this company's knowledge and commitment to detail. We could serve our clients better and significantly grow our care, the movement these experts took control of our RCM services.
FAQs
ABA therapy center reduces 90+ days in AR by 33.2%
Read about Plutus Health's optimized RCM process that helped this ABA Therapy Center increase overall cash flow by 23.3%.
