The Trusted ABA Billing Services Company

for ABA Therapy Billing, Coding and Payment Collections in the USA
ABA therapy providers need reliable billing support to thrive. Welcome to BellMedEx ABA Billing and Collections Company that delivers the ABA coding and billing expertise you need.

As a full-service ABA therapy billing services provider, we handle everything from insurance credentialing and telehealth billing to EMR integration, claims scrubbing, and denial prevention. Plus, we ensure every claim aligns with Medicaid, Medicare, and private payer rules.

BellMedEx empowers clinics, BCBAs, and healthcare professionals dedicated to supporting individuals with autism and behavioral health disorders by providing end-to-end ABA therapy billing solutions. Our team specializes in billing ABA therapy services with precision, ensuring compliance with CPT codes (97153, 97155) and DSM-5 standards.

Fill out the form below to let BellMedEx’s trusted ABA revenue cycle management solutions streamline operations and maximize revenue for your practice.

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Trusted ABA Medical Billing Solutions for every therapy:

Initial Assessments and Evaluations

Individual ABA Therapy Sessions

Group ABA Therapy Sessions

Parent and Caregiver Training

Telehealth ABA Services

Behavioral Assessments and Data Analysis

Behavioral Assessments and Data Analysis

Crisis or Emergency Intervention Services

Speech-Language Pathology (SLP)

Occupational Therapy (OT)

Providing Customized ABA Therapy Billing Services in the USA

As an Applied Behavior Analysis provider, you face shrinking margins and growing administrative problems. Your team deals with denied claims from wrong modifiers, delayed care from slow prior authorizations, and wasted time matching EOBs. Meanwhile, the ever-changing Medicaid and Medicare rules, different payer codes for ABA services, and the need for perfect session notes create a perfect storm that hurts your revenue.
But worry not.

For 10+ years, BellMedEx ABA Therapy Billing and Collections Company has worked with ABA providers to turn their ABA medical billing from a problem into a profit source.

We take full control of your revenue cycle rather than just managing it. Our team includes certified AAPC coders and RCM experts who solve ABA billing challenges like checking claims for proper diagnostic codes, fixing denials in as less as 48 hours, and working with ABA insurance payers to get you better rates.

Partnering with BellMedEx means:

End-to-End Ownership:

From prior authorizations to self-pay collections—we handle every touchpoint.

Proprietary Denial Resolution Framework:

Fix recurring issues like COB errors or modifier misuse for good.

Live Claims Tracking Portal:

Watch claims move from submission to payment in real time.

Revenue Growth Guarantee:

We benchmark your pre- & post-partnership revenue—or we work free until we fix it.

95% Denial Resolution Rate:

Via aggressive appeals and modifier optimization.

The BellMedEx ABA Billing Service advantage extends well beyond fixing billing inefficiencies. By partnering with our specialized team, practices typically see collection improvements of 20-30% in their first six months. This empowers ABA specialists to focus exclusively on delivering superior patient outcomes, as we convert billing operations from a cost burden into a sustainable profit generator that funds continued practice expansion for years to come.
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What are ABA Billing Services?

ABA Billing Services are specialized financial management services that handle the process of billing for Applied Behavior Analysis therapy. These services act as intermediaries between ABA providers and insurance companies, ensuring proper reimbursement for autism treatment services to the ABA healthcare providers and clinics. With deep know-how in autism treatment billing rules, these experts help your cash flow stay strong and keep your finances stable.

The core components of ABA Therapy Billing Services are:

  • Insurance Verification and Benefits Analysis
  • Verifying patient insurance coverage for ABA therapy
  • Determining in-network vs. out-of-network benefits
  • Calculating patient financial responsibility
  • Prior Authorization Management
  • Submitting documentation to prove medical necessity
  • Tracking authorization periods and units
  • Managing reauthorization processes before expiration
  • Precise Coding and Documentation
  • Utilizing appropriate CPT codes (97151, 97153, 97155, etc.)
  • Applying necessary modifiers (TM, TS, 59)
  • Ensuring accurate ICD-10 diagnostic codes (F84.0, F84.5)
  • Verifying proper documentation to support billed services
  • Claims Submission and Follow-up
  • Electronic submission of claims within timely filing limits
  • Tracking claim status and payment timelines
  • Implementing claim scrubbing to reduce rejection rates
  • Denial Management and Appeals
  • Analyzing rejection reasons and patterns
  • Correcting and resubmitting denied claims
  • Filing formal appeals when necessary
  • Revenue Cycle Analytics
  • Generating financial performance reports
  • Analyzing reimbursement trends and payer behaviors
  • Identifying opportunities for process improvement
  • Compliance Management
  • Ensuring adherence to payer-specific requirements
  • Maintaining HIPAA compliance in all billing practices
  • Staying updated on changing regulations affecting ABA reimbursement

Therapists Trust BellMedEx ABA Therapy Billing and Collections Company for Many Reasons

While you’re creating breakthroughs for your patients, insurance paperwork shouldn’t be breaking your spirit. This powerful truth has led hundreds of forward-thinking ABA therapists to the doorsteps of BellMedEx ABA Therapy Billing Services Company. We don’t merely manage your billing. Infact, we liberate your healthcare practice from the invisible chains of revenue cycle complexities.
Join the growing community of successful ABA practices that have transformed their financial performance through our specialized medical billing and coding services. Your practice deserves nothing less than excellence in every aspect of the billing operations!

Unmatched ABA Billing Expertise

Our team brings decades of combined experience exclusively in billing ABA therapy services. Unlike general medical billers, we understand the unique complexities of ABA service delivery models, authorization management, and the specific documentation requirements that make ABA billing different. This specialized knowledge translates directly to higher clean claim rates and faster payments for our clients.

98.7% First-Pass Claim Approval Rate

Our track record speaks for itself. While the industry average hovers around 70%, our clients consistently experience first-pass approval rates of 98.7%. This remarkable difference isn't by chance. It's the result of billing ABA services with excellent claim preparation, thorough understanding of payer requirements, and proactive verification processes that catch potential issues before submission to the payor.

Rapid Revenue Acceleration

When practices switch to BellMedex ABA insurance billing services, they see a huge reduction in their reimbursement timeline. Your practice will no longer wait several months for ABA insurance payments. Our streamlined processes and payer relationships help secure payment within a few days of claim submission. This dramatically improves the cash flow of ABA clinics.

ABA-Specific Denial Prevention System

We've developed a proprietary denial prevention system specifically for ABA claims that identifies and resolves the top issues before they become problems. This system has reduced denial rates for our clients by up to 78% compared to their previous billing solutions, eliminating the frustrating resubmission cycle that delays your payments.

Compliance Guarantee

Our team stays continuously updated on the ever-changing landscape of insurance requirements, state regulations, and ABA coding guidelines. We offer a compliance guarantee that protects your practice from audit concerns while ensuring you receive every dollar you're entitled to—legally and ethically.

Customized Client Portal

Our secure, HIPAA-compliant client portal gives you 24/7 visibility into your ABA billing operations. Track ABA medical billing claims in real-time, access comprehensive financial reports, and gain actionable insights into your practice's financial health with just a few clicks. This transparency builds confidence and eliminates the uncertainty that often comes with outsourced billing.

Dedicated ABA Account Specialists

Every practice gets their own billing specialist who gets to know you and your needs. This person becomes familiar with how you work, which insurance companies you deal with, and what your goals are. Having your own helper means you always know who to call when you have questions.

Works With Your Current EMR System

Our billing system connects easily with the software you already use in your practice. This means no double-entry of information and less paperwork for your staff. Our clients save about 15 hours each week on admin work, that's almost two full workdays!

Proven Revenue Impact

ABA healthcare providers experience up to 30% increase in collected revenue after their partnership with our ABA Billing and Collections Company. This dramatic improvement comes not just from better claim management, but from our comprehensive approach to revenue cycle optimization that identifies previously missed billing opportunities.

We've Fixed Claim Denials for All ABA Centers
  • ABA Therapy Clinics/Centers
  • Small Group ABA Practices
  • Pediatrics/Developmental Departments
  • Multidisciplinary Pediatric Clinics
  • Autism Treatment Centers
  • Early Intervention Providers
  • Community Mental Health Centers
  • Residential Treatment Facilities
  • Behavioral Needs Group Homes
Clean Claim Ratio
0 %
1st Submission Pass Rate
0 %
Revenue Boost
Upto 0 %

Why Do ABA Healthcare Practices Need Medical Billing and RCM Services?

Providing ABA therapy services is rewarding, but many practices lose their revenue due to errors in their medical billing and coding. With time, these errors turn into billing headaches that chip away at your revenue and your peace of mind.
Let’s break down the most common ABA billing challenges. And see how specialized billing support from ABA Therapy Billing Services and Collections Company can resolve them.
Without ABA Billing ServicesWith ABA Billing Services
Billing codes keep changing. You can’t keep up!
ABA billing codes and insurance requirements frequently shift. Missing updates can lead to claim rejections or underbilling.		Imagine having someone whose entire job is to stay on top of these changes. That's what you can expect from ABA billing service providers. They’ll handle the fine print so your claims match what insurers expect right now, not six months ago.
My team misses small details in notes, and claims get denied.
It happens. When you’re focused on client care, it’s easy to skip a time note or forget a progress update. Even tiny gaps in paperwork can hold up payments for weeks.		ABA billing specialists review documentation for accuracy & completeness, flagging gaps before claims are submitted. This reduces denials tied to paperwork issues.
Insurance authorizations take too long.
Delays in prior authorization approvals stall services and payments. Calling insurers, resending forms, worrying about coverage gaps… it’s a time sink that pulls you away from your clients.		ABA billing service providers have a proactive authorization management that ensures treatment plans and progress reports are submitted early, with follow-ups to avoid lapses in coverage.
High claim denial rates.
Errors like incorrect patient details, mismatched codes, or missing provider signatures result in denials that drain resources to fix.		ABA billing companies catch errors upfront (like a second set of eyes) and fix denied claims fast. Plus, they’ll tell you why it happened, so it doesn’t repeat.
Limited understanding of ABA-specific billing rules.
ABA isn’t one-size-fits-all. General billers might miss nuances like timed units, specific modifiers, or how insurers interpret “medical necessity” for autism care. This leads to underpayments.		Dedicated ABA billers understand these intricacies, ensuring claims meet each insurer’s criteria for timely, full reimbursement.
ABA insurance reimbursements are slow, cash flow feels unpredictable.
Submitting claims late or failing to track their status delays cash flow, affecting your practice’s financial health.		ABA medical billing company streamlines submissions, tracks every claim in real time, and gently hassles insurers about delays. Predictable cash flow = less financial anxiety.
Request Billing Demo

Trust Our 10+ Years Of Expertise in ABA Therapy Coding

BellMedex brings more than a decade of specialized ABA coding experience, turning complex billing into a clear path from clinical service to financial reward. We create claims that accurately represent your complete therapy work. This way insurance companies respect and pay for every valuable minute of your therapy services.
Team up with BellMedEx ABA Therapy Billing and Insurance Services because:
Our coders possess multiple certifications and specialized ABA training.
Our team understands insurance-specific requirements for all major providers.
We adhere strictly to federal standards, privacy laws, and regional ABA guidelines.

You collaborate directly with specialists who understand ABA’s unique challenges.

We Know ABA Codes Perfectly

ABA coding needs deep knowledge of codes like 97153, 97155, and 0362T, plus modifiers such as 59 or XE. Our certified ABA coders match each claim with what insurance expects, whether it’s BCBS’s rules for parallel sessions or Aetna’s time tracking requirements. We can verify diagnoses like F84.0 (autism spectrum disorder) against your medical notes to keep claims from getting rejected.
ABA therapy has strict rules, from CMS telehealth standards (modifier 95) to state Medicaid policies for group work. Our ABA coding gurus have legitimate CPMA and CRC certifications, following HIPAA, CMS guidelines, and insurance audits. This keeps your practice safe while making sure your claims are always ready for review. We’re seriously committed to getting it right.
Insurance rules vary depending on the patient’s health insurance payor. UnitedHealthcare might need pre-approval for 97154, while Cigna wants HB modifiers for skill-building services. Ohio Medicaid limits what RBTs can bill. BellMedEx stays current on these policies, creating claims that fit exactly what Humana, Aetna, and local Medicaid programs want. That’s genuine attention to detail.
Undercoding and missed modifiers are a major setback for your revenue. We make sure units for 97155 (group sessions) match your time records, add TM modifiers for BCBA team meetings, and check insurance-specific billing for services happening at the same time. This captures all the value of your work.
Your practice’s workflow matters to us. Our coders sync with platforms like CentralReach and Catalyst, adapting to how you document. With special training in ABA coding standards, we assign you ABA billers and coders who understand RBT supervision logs and BCBA treatment plans.

BellMedEx Delivers ABA Insurance Billing Services Across The USA

Ghosted by insurance? Not on our watch. 🔥
Stop sweating in-network ABA billing for ABA therapy services. We get you paid by every insurance provider in the USA. Our system locks down reimbursements fast by verifying coverage before you even start therapy, so denials don’t exist here.
BellMedEx ABA Insurance Billing Services Company manages the complete billing process – from verification of benefits to claims submission and follow-up – making sure every medical service you provide to patients is properly documented and reimbursed according to each specific insurance company’s requirements.

We successfully process claims with all major insurance providers covering ABA therapy, including:

Fill this form to schedule ABA medical billing & revenue analysis for your clinic.
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Is your ABA agency claiming 9% extra Medicare reimbursements via BellMedEx?

MIPS determines Medicare reimbursement adjustments based on performance in four areas: quality, cost, improvement activities, and technology use. For ABA therapists, participation isn’t optional, as it directly impacts revenue. But tracking metrics, reporting data, and avoiding penalties require time and precision. Here’s how BellMedEx resolves that:
Here’s how BellMedEx resolves that:
  • We access your billing systems and pull data on client outcomes, session notes, and all quality measures specific to ABA therapy services.
  • We monitor Cost category performance to prevent negative adjustments.
  • Our team reviews your data against MIPS benchmarks. If you are falling short in quality scores or technology use, we flag them early and take steps to resolve them for you.
  • We handle all reporting deadlines and audit trails. Post-submission, we track Medicare’s feedback on your ABA clinic’s performance and adjust MIPS optimization strategies proactively.
  • We ensure your ABA EHR usage meets Promoting Interoperability requirements.
Direct Benefits to Your Practice
  • A 9% Medicare cut hurts. We make sure it never happens.
  • Top performers earn up to 9% bonuses. We optimize reporting to position you competitively.
  • We know how MIPS judges ABA progress data, and we report codes like HCPCS 0362T correctly. This way, you can redirect the hours you spend on MIPS compliance back to therapy sessions.
  • We handle the final submission and verify acceptance by Medicare—no extra work on your end.

You’re good at therapy. But MIPS isn’t about therapy… it’s about data rules, right? One coding mistake or missed deadline can cost thousands. We’ve fixed $1.2M in penalties for ABA clinics in the past two years.

Let’s talk for 10 minutes. We’ll show you your current MIPS score and
what’s at stake. No contract. No pressure.

Book an Expert Call

Need an Expert & Trusted ABA RCM Support?

Behind every life-changing ABA session is a billable moment. That’s why, BellMedEx ABA Therapy Billing Services Company works as your financial co-therapist that injects predictability into your RCM.

Our ABA revenue cycle management solutions promise real-time eligibility checks, rewire denials into paid claims, sync payments from patients and health insurance companies to your payroll cycle, and turn AR aging reports into recovery roadmaps.

Streamline eligibility verification with real-time insurance checks to prevent ABA therapy claim rejections upfront

Automate ABA billing workflows for error-free claims submission, payment posting, and reconciliation across private payers & Medicaid

Boost patient collections via customized payment plans, automated reminders, and HIPAA-compliant online portals

Prevent revenue leaks with monthly compliance reviews for ABA coding (e.g., adaptive behavior codes), billing regulations, and payer updates

Slash ABA claim denials through proactive coding audits and payer guideline alignment

Recover denied revenue with AR specialists skilled in ABA-specific appeals (authorization gaps, modifier issues, documentation fixes)
Gain RCM clarity with ABA therapy-specific KPIs, days in A/R, denial rate trends, and payer performance analytics
Scale confidently with predictive cash flow modeling and ABA practice growth benchmarking

Who is BellMedEx?

BellMedEx emerges as the USA’s #1 trusted ABA billing services company, purpose-built to transform the administrative landscape of behavioral therapy practices. Our end-to-end ABA billing solutions are a lifeline for therapists drowning in paperwork, offering a comprehensive approach that maximizes revenue, ensures compliance, and eliminates billing-related stress.

With BellMedEx, ABA practices can finally shift their full attention from bureaucratic challenges to providing compassionate, effective behavioral support. This way ABA therapists can better serve children with autism.

Direct Benefits to Your Practice

Seriously, who understands all those ABA codes and rules? We do. Our certified ABA billing team knows exactly how to talk to insurance companies. We’ll code claims right, chase denied payments, and squeeze every penny insurance owes you.

Get Paid More

With our top-rated ABA RCM (Revenue Cycle Management) services, we streamline everything from insurance verification to payment posting. BellMedEx chases down every penny insurance owes you, fights denied claims, and fixes underpayments as part of our ABA insurance billing services.

No More Insurance Surprises

Tracking ABA payments without BellMedEx feels like solving a Rubik’s cube blindfolded. But don't worry. BellMedEx ABA Therapy Billing and Collections Company will show ABA practices where their reimbursements are, post payments fast, and send friendly payment reminders to patients who owe co-pays and deductibles. Authorizations are also handled here, so there are no treatment delays. And if auditors come knocking? BellMedEx has got your back. HIPAA rules? We handle them.

Reliable ABA Billing Support

Other billing companies treat you like a number. BellMedEx treats ABA providers like family. Text us at 2 AM with a billing panic? We’ll answer. Need help understanding a weird insurance letter? We’ll translate it. Outsource ABA billing operations to us, and we will be here for you always.

What clients are saying about Us
Rated 4.7 based on 179 reviews on

Billing department worked hard

By PCP
Our company has used BellMedEx for 3 years now. We are extremely happy with all aspects of the company. We use the credentialing, billing, and pre-authorizations options and have had nothing but success.
06 Feb, 2025

Billing department worked hard

By PCP
I have had problems with my outsourced billing company for the last several years until I was referred by a group of doctors I work with to Bellmedex. I can now focus on patient care instead of worrying about admin load.
17 Feb, 2025

Billing department worked hard

By PCP
BellMedEx has adopted the motto of getting my job done as fast, smooth, and professional as possible. They also follow up on any unpaid claims and denials just as fast, and aren’t afraid of getting their hands dirty in the work.
28 January, 2025
FAQ

Frequently Asked Questions

BellMedEx has years of experience providing top-notch ABA billing, coding, and revenue cycle management services. Outsourcing to us allows you to focus on patient care while we handle all your billing needs. Our team stays up-to-date on the latest ABA coding guidelines to ensure maximum reimbursement.
BellMedEx specializes solely in ABA billing and coding. Our entire team has expertise in autism spectrum disorders and ABA therapies. We understand the nuances of coding and billing for ABA services to get claims paid quickly and accurately.
We help ABA practices boost revenue in multiple ways. Our billing team achieves a high claims acceptance rate, increasing reimbursement. We also provide advanced analytics on reimbursement trends so you can optimize your business. Additionally, we offer credentialing services to help you contract with more insurers.
Yes, we can integrate seamlessly with all major ABA EHRs and PM systems. Our platform includes APIs to connect with your current software. This allows for smooth data transfer and access to real-time claim status.
We verify patient eligibility, gather documentation from your EHR, code claims per ABA guidelines, submit to payers, follow up on unpaid claims, and appeal denials. You get regular status updates throughout the revenue cycle.
We utilize top-tier data security including encryption, role-based access control, and HIPAA compliance monitoring. Our systems and staff undergo routine security audits to ensure PHI protection. We can sign a Business Associate Agreement as well.
No training needed! Our platform and services integrate seamlessly into your workflows. We handle the entire billing process while providing you with visibility through custom reports and dashboards.
Our dedicated implementation team will work closely with you to organize a smooth transition with no interruption to your cash flow. We can even contract with your current vendor to handle runout claims.
We provide detailed monthly reports on collections, denials, A/R status, authorizations, and more to provide you full visibility into your revenue cycle. Custom reporting is also available.
Yes, our certified coders have extensive experience coding ABA services including CPT codes 97151, 97152, 97153, 97154, 97155, 97156, 97157, and modifiers like U1-U8. We optimize coding for maximum, compliant reimbursement.