ABA Therapy Billing Services
ABA clinics lose an average of 18% of revenue to authorization lapses and modifier errors. Revix MD’s specialized behavioral health billing services eliminate both, ensuring your clinicians focus on outcomes rather than paperwork.
What We Do
The Specialized ABA Solutions
01
ABA Prior Authorization Mastery
We monitor unit consumption daily and initiate re-authorization requests 60 days before expiration, eliminating unbilled sessions and protecting your clinic’s cash flow.
02
EVV Compliance for ABA
Electronic Visit Verification is mandatory for Medicaid providers. We integrate EVV compliance into your billing workflow to protect your clinic from audits and recoupments.
03
Advanced Concurrent Billing Logic
Concurrent care (97153 & 97155) is a primary denial trigger. We utilize specialized scrubbing logic to ensure overlapping sessions meet specific payer documentation requirements.
04
Payer-Specific Policy Expertise
Applied behavior analysis billing varies by carrier. We navigate the unique technical mandates of Optum/UHC, BCBS, and Tricare to ensure first-pass claim acceptance.
05
ABA Medicaid Billing & State Waivers
We specialize in state-specific Medicaid modifiers and CASD waiver programs, capturing high-intent revenue sources that generalist billers often overlook.
06
BCBA & RBT Credentialing
Our team manages the complex provider enrollment process, linking your technicians to payers quickly to accelerate your time-to-payment and prevent “uncredentialed provider” denials.
07
Parent Training (97156/97157) Optimization
Maximize your family guidance revenue. Our ABA billing services ensure your documentation supports these codes, capturing the full clinical value of your oversight.
08
Telehealth & Multidisciplinary Integration
We maintain full compliance with 2026 telehealth regulations and integrate SLP/OT billing seamlessly for multidisciplinary pediatric care models.
Getting Started
The Revix MD Onboarding: Your First 30 Days
A seamless transition designed to lower anxiety for clinic directors.
01
The Revenue Audit
We analyze your current A/R, identify authorization “leakage,” and map out your top 5 denial reasons.
02
Technical Sync
We integrate with your platform (CentralReach, Rethink, etc.) and establish secure, compliant data pipelines.
03
Payer Cleanup
We verify technician credentialing and begin aggressive follow-up on your aging 90+ day claims.
Testimonials
What ABA Clinic Directors Say
"
Revix MD eliminated our authorization lapses entirely. We no longer provide unbilled therapy hours, which has stabilized our cash flow.
Sarah K., BCBA-D
Clinical Director
"
Their RBT credentialing speed is unmatched. We onboarded ten new technicians, and their team ensured every claim was paid accurately and on time
Michael R
Behavioral Health Group
Let's Work Together
Take Control of Your Revenue Cycle Today
Don’t let unauthorized sessions and billing errors limit your clinical impact.
Partnering with Revix MD means more than just outsourcing your claims—it means gaining a dedicated team that understands the nuances of ABA Medicaid billing and the urgency of prior authorization timelines. We handle the complexity of the back office so you can focus on what matters most: your patients’ progress.
Ready to see where your revenue is leaking?
Identify systemic leaks in 30 minutes, no commitment required.
FAQs
How do you handle ABA authorization expirations?
We monitor unit consumption daily. Our system alerts your team sixty days out, allowing ample time to secure necessary re-authorizations without a gap in care.
Can you manage billing for different state Medicaid plans?
Absolutely. We specialize in the unique Medicaid modifiers and educational requirements for all fifty states, ensuring your RBTs are correctly reimbursed.
How do you handle denied claims?
Our team identifies the root cause of every denial, corrects the specific coding or credentialing errors, and resubmits the claim promptly to ensure maximum reimbursement.
Do you manage insurance authorizations?
Yes, we track authorization periods and usage, notifying your team well before expirations occur to ensure continuous coverage and uninterrupted therapy sessions for your patients.
What specialties do you cover?
We focus exclusively on Applied Behavior Analysis, navigating complex CPT codes and payer requirements to streamline your revenue cycle and significantly reduce administrative overhead.