Anyone involved in ABA billing is aware of the many added obstacles involved in receiving proper payment for their claims.
As experts in ABA revenue cycle management, MBH cuts through the obstacles and ensures that your practice is collecting full payment for services rendered.
Authorization ManagementOur experience in pre-authorization and authorization management will reduce costly appeals, expedite payments, and ensure that renewals are processed before expiration. Because we are experts in each carrier’s methods, we can process claims with the proper clinical support documentation on the initial submission.
Claim ScrubbingClaim scrubbing expedites payments by reducing claim errors and the potential for denials by validating data and insurer information.
Claim scrubbing also reduces the risk of underpayments and post-payment audits.
Practice-specific QueriesWe can establish custom rules for your practice that will expedite payments. We can run practice-specific queries to identify items that require attention before claims are submitted.
Claims Submission We submit claims electronically using state-of-the-art software that is integrated with the clearinghouse. This allows us to be on top of issues that arise and address them before they get to the carrier.
ERA PostingOur system electronically posts all details of electronic remittances from the carrier.
Denials, Appeals, and Wrong Track PaymentsApproximately 80% of ABA claims submitted would be wrongly paid if they were not tracked. Our automated tracking system allows us to monitor the progress of every claim and intervene when necessary to expedite processing. If denied, we process appeals with the carrier.
Provider Enrollment
Our provider enrollment team ensures proper and quicker enrollment for the individual providers, resulting in faster reimbursement. They also keep track of expiration dates and alert you when credentialing updates are due.
Group EnrollmentOur group enrollment team is experienced in working with insurance carriers and Medicaid to ensure smooth and proper enrollment for your group.
Single Case AgreementsIf you have a patient who is covered by a carrier you are not yet participated with and a participating provider has not been identified, we can help you obtain a Single Case Agreement with the particular carrier.
ABA Practice Management ToolsOur zero-footprint, advanced, easy-to-use practice management tools address the unique needs of ABA practices and can help you operate more efficiently (e.g., scheduling, data collection, graphs, program/goal tracking, time sheets).
Reporting & Business Intelligence ToolsThe ability to easily generate audit and management reports with up-to-date information is key to successful practice management. We can help you design reports for a range of purposes that will help improve productivity, cash flow, compliance, and patient care.
Improved Business Process ManagementBased on our knowledge of ABA practice business processes, we can recommend ways to improve scheduling, treatment planning, data collection, and numerous other functions that will improve patient outcomes and caregiver satisfaction while positioning your practice for financial stability and long-term growth.
