Four Solutions to Maximize Learner Engagement and Reimbursements for ABAs
The global pandemic completely uprooted the health industry, forcing many businesses to revamp the way they provide care. Like many in the health industry, Applied Behaviour Analysis(ABA) therapists moved to an online approach, making telehealth ABA their primary way to see autistic children. Unfortunately, many of the most effective techniques therapists typically use are unavailable in the digital space.
As such, practitioners must learn how to adapt to an increasingly telehealth-focused world. It’s essential to have your processes and procedures on the backend flowing seamlessly so that you can focus on maximizing learner engagement for the best possible outcome. Doing so will increase your clients' responsiveness and boost income flow.
Here are four solutions to improve learner engagement and maximize ABA revenue cycle management.
Use ABA Training for Parents
Most ABA therapy focuses on young learners. Therefore, it has always been crucial to involve a child's parents to assist with learning. Sometimes parents were unavailable or avoid partnering with a therapist. However, there were methods the therapist could use to circumvent a parent's help.
With telehealth treatment, any of these methods are unavailable. Here are 3 ways to keep parents involved:
- Record behavior on video
Autistic behaviours can be complex, and the patterns they produce often make it difficult for observers to remember details. Thankfully, modern technology lets parents record their child exhibiting odd practices, then send that footage to the therapist. This footage helps the therapist prepare for a session and bring the tools and knowledge needed for the best outcomes.
- Reinforce consistency
Autism is the most common developmental disorder treated with ABA. Autistic children typically require ahigh level of consistency. Parents should schedule sessions at regular times, preferably when a child is well-rested and energized. Breaks in a schedule will upset a patient and make them less engaged in the therapy.
- Encourage involvement
Even the most competent ABA therapist can't significantly improve a child without parental involvement. Parents must take the activities and habits the therapist prescribes and apply them consistently.
Reduce Healthcare Worker Burnout
Learner engagement will only be as good as the ABA therapist personnel that cares for them. In a 2021survey, 551 healthcare executives cited provider burnout as the most concerning element that could disrupt workflow.
To ensure your therapists and staff are efficient, create consistent training programs. These programs double as a way to assess your employees. Also, a large amount of healthcare burnout comes from administrative duties. Consider outsourcing your billing and collection services so your office workers can spend less time examining session records and more time with learners.
Reinforce During Down Time
Remember, you, your learner, and their parents are partners. Avoid seeming like the only time you care about them is during the ten hours a week you visit online. Send texts to remind parents of appointments and ABA procedures. And ask how the child is progressing.
Often, your area will have supplementary activities that bring people with learning disabilities together. Hobbies like Pilates, meditation, and support groups can all reduce stress or promote social interaction. Whether professionally or casually run, these programs may significantly improve a child's performance. Checking on your clients' well-being outside of scheduled hours is fantastic at creating a reassuring, trusted presence.
Organize your Administration
High-data standards require healthcare workers to record more information than ever before. As such, administration can be time-consuming, taking valuable time from your practice and ABA therapists can find it challenging to spend adequate time with learners. But, alack of quality care for learners will alienate them, ultimately negatively affecting your cash flow.
Fortunately, there are vital steps ABA providers can take toward alleviating workers' burdens.
1. Improve technology
Modern equipment can do many tasks quicker and with fewer mistakes than the best healthcare professional. These tasks range from creating workflows to providing inter-clinic transfers of patient information, ultimately helping the therapist focus on the needs of the learner.
2. Consider hiring a billing and coding agency
These companies are fantastic at minimizing administrative burden and maximizing your profit returns. While some cases will always end in a charity write-off, experienced billing agencies can quickly identify ways of compensation previously ignored. Specialized ABA billing companies allow you to focus on the care of your learners while they take care of your time-consuming billing tasks — ultimately increasing your reimbursements.
Plutus Health works with you to streamline ABA billing. If you are struggling with billing, collection, and management, our expert team takes care to get the fastest reimbursement possible and increase your practice's performance.
Key Takeaways
1. Engage with parents to create more structure and consistent reinforcement.
2. Contact patients off-hours to offer services and appointment reminders.
3. Focus on boosting your staff's performance and protecting against burnout.
4. Streamline your administrative processes by introducing technology and hiring an ABA billing agency.
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FAQs


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.


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.


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.


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.


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%.


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.


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.


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.
FAQs


ABA therapy billing is the process of submitting claims to insurance or Medicaid for Applied Behavior Analysis services provided to individuals with autism or developmental disorders. It includes using correct CPT codes, proper documentation, and adherence to payer-specific policies.


Common CPT codes for ABA therapy in 2025 include:
- 97151 – Assessment and treatment planning
- 97153 – Direct therapy with the patient
- 97155 – Supervision and modification of behavior plan
- 97156 – Family adaptive training
- Always check with payers for any annual changes.


To bill Medicaid for ABA services, providers must ensure credentialing is complete, services are pre-authorized, and claims use the correct codes and modifiers. Medicaid requirements vary by state, so always follow state-specific billing rules.


Common ABA billing mistakes include:
- Incorrect or missing CPT codesplan
- Lack of documentation or treatment
- Uncredentialed providers rendering services
- Submitting duplicate or late claims


Without proper credentialing, providers can’t get reimbursed. Insurance and Medicaid require that BCBAs, RBTs, and organizations are credentialed and contracted. Delays in credentialing often cause revenue losses and claim rejections.
FAQs


CMS proposes a 2.4% increase in Medicare ASC payment rates, contingent on meeting ASCQR quality reporting requirements. Plutus Health helps ASCs meet these compliance benchmarks by integrating quality reporting data into RCM workflows, ensuring eligibility for full payment updates.


The ASC Covered Procedures List will expand by 547 procedures, including cardiology, spine, and vascular surgeries. Plutus Health supports expansion into new service lines by customizing RCM processes for high-acuity procedures, minimizing claim denials during the transition.


Site-neutrality narrows the payment gap with hospital outpatient departments, enhancing ASCs' cost-efficiency appeal. Plutus Health helps leverage this advantage in payer negotiations by providing performance dashboards and cost-justification analytics to secure stronger reimbursement terms.


Complex procedures increase denial risk and slow cash flow. Plutus Health's automation-first RCM model delivers 95%+ clean claim rates, reduces A/R days, and safeguards margins, even as your case mix becomes more complex.