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Updated on:
March 31, 2025
July 20, 2022

7 medical coding trends that will impact healthcare RCM in 2022 and beyond

Dr. J is a Physician, MBA graduate, AAPC Certified Coder (COC), and ASQ Certified Six Sigma Black Belt (ASQ CSSBB) with 20+ years of experience in the Healthcare Industry. His key expertise areas include coding in multiple specialties, end-to-end RCM, multiple market segments, product and process innovation for the healthcare business, lean six sigma management, and process design and improvement.

ABA Providers Recover Dues From Patients To Efficient Your Account Receivables

Recent strains on healthcare sectors revealed cracks, signaling the need for workflow reassessment. Critically, coding procedures that were once common are now considered obsolete. 

Medical practices have revamped their standards to withstand a high level of pressure. The more drastic of these changes will doubtless affect RCM for the foreseeable future. 

Here are the coding trends that will impact healthcare RCM in 2022 and beyond. 

Coding Automation Adoption

Humans are famous for consistently taking the path of least resistance. While this approach is often functional, it has unfortunately stalled significant development in healthcare. Many practices have relied on inefficient human workers to cobble together service claims.  

Under some circumstances, this approach is adequate. However, this mediocrity has kept practices from adopting much more efficient automated systems. These systems can consistently match codes to services faster than the best human worker. Providers are increasingly recognizing automation’s value and are implementing coding software accordingly. 

Medical Labor Shortage

Recently, the healthcare sector has suffered severe labor shortages. This deficiency is making many practices scramble to fill roles. Unfortunately, a low supply is reducing the standards for coders. Many newcomers are ill-equipped to handle the pressures of such a demanding job. 

Coding Apprenticeship Programs

Providers have recognized the lack of experience in newly integrated workers. To combat this problem, many are investing in apprenticeship programs. These programs merge studying sessions with intensive on-the-job training. 

Higher Training

Adopting highly productive automated systems may seem like an excuse to reduce staff training. However, complex billing and coding software require more expertise to oversee. These intricate systems have many moving parts their users must track. 

Increased Workflow Standards

Fewer workers mean practices can no longer solve problems by hurling bodies at them. Strategy is more crucial than ever. As such, intelligent providers are investing in more advanced workflows than previously. 

To increase specialization, practices segment coders into well-defined categories. Many workers have areas they exclusively manage. This setup allows overseers to hold staff individually responsible for successes or failures. 

Reviewing Coding Productivity

Higher standards only work if overseers can review staff productivity. So, internal audits are increasingly standard procedures. Audits provide staff with a clear understanding of what habits consistently produce positive results. 

Some practices are turning toward professional companies to analyze their workflow efficiency. With these metrics, planners can more easily form a long-term map toward improvement. 

Professional Healthcare RCM Services

The requirements of higher worker standards and more automation are proving too demanding for many practices. So, providers are increasingly turning to professional billing and coding companies. Because of their advanced infrastructure, these organizations are better equipped to tackle RCM. 

Plutus Health uses its position as a top medical billing company to innovate RCM. Consistently, our team has boosted practices’ income flow at cost-efficient rates. We’ve proven to our customers that our experts protect their financial security. Visit our website to see the potential improvements specialization can offer your RCM. 

Key Takeaways

1. Increased automation provides a stable coding cornerstone. 

2. Shortages of labor reduce the talent pool. 

3. Providers are investing in apprenticeship programs. 

4. Staff training is becoming increasingly extensive. 

5. Higher standards require more complex workflows. 

6. Data analysis is becoming a regular procedure rather than an anomaly.

7. Professional services are increasing in value. 

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Faq

What are the top workforce challenges facing ABA therapy providers in 2025?

ABA providers are grappling with high staff turnover (up to 65%), rising burnout, administrative overload, and stagnant reimbursement rates. These challenges directly impact care continuity, clinical outcomes, and operational performance.

How does operational inefficiency affect ABA organizations?

Operational inefficiency costs ABA teams up to 10 hours per staff member per week, contributing to burnout, denied claims, and longer accounts receivable (A/R) cycles. These inefficiencies ultimately result in reduced revenue and patient dissatisfaction.

Why is burnout in ABA clinicians considered a financial risk, not just an HR issue?

Burnout leads to costly turnover, lower client retention, and decreased productivity. Recruiting and replacing a BCBA or RBT can cost up to $5,000 per hire, plus months of lost revenue and disruption to morale.

What are effective strategies for improving ABA staff retention?

High-performing ABA organizations invest in clear career pathways for BCBAs and RBTs, align compensation with market benchmarks, and foster peer-led mentorship, flexible schedules, and wellness programs.

How can ABA organizations reduce the administrative burden for clinicians?

Automation tools like Plutus Health's Zeus streamline eligibility verification, denial management, and billing, reducing manual workloads by 5–10 hours weekly per clinician and improving clean claim rates by 95%.

What's the ROI of outsourcing RCM in ABA therapy organizations?

Outsourcing revenue cycle management can improve collections, reduce denials by up to 30%, and free clinicians from billing-related admin tasks, resulting in better client care and financial outcomes.

What's a proven example of operational transformation in ABA?

One $200 million ABA network partnered with Plutus Health to automate eligibility and accounts receivable (A/R) processes. The result: $2M reduction in legacy A/R and a 97% Net Collection Rate.

How can ABA organizations prepare for value-based care models?

By improving operational efficiency, investing in technology, and ensuring workforce stability, ABA leaders can align outcomes with reimbursement. Plutus Health supports this transition with scalable RCM and automation strategies.

Dr. Jagadeesha. G. S

Dr. J is a Physician, MBA graduate, AAPC Certified Coder (COC), and ASQ Certified Six Sigma Black Belt (ASQ CSSBB) with 20+ years of experience in the Healthcare Industry. His key expertise areas include coding in multiple specialties, end-to-end RCM, multiple market segments, product and process innovation for the healthcare business, lean six sigma management, and process design and improvement.

FAQs

What are the top workforce challenges facing ABA therapy providers in 2025?
How does operational inefficiency affect ABA organizations?
Why is burnout in ABA clinicians considered a financial risk, not just an HR issue?
What are effective strategies for improving ABA staff retention?
How can ABA organizations reduce the administrative burden for clinicians?
What's the ROI of outsourcing RCM in ABA therapy organizations?
What's a proven example of operational transformation in ABA?
How can ABA organizations prepare for value-based care models?

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What CPT codes are used for ABA therapy in 2025?
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What are common ABA billing errors to avoid?
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