ABA billing can be overwhelming, especially for new providers or office teams unfamiliar with insurance procedures. Whether you’re just starting or looking to improve your workflow, understanding the correct ABA billing steps is key to getting reimbursed on time and keeping your practice financially healthy.
At Taylor Prime Solutions, we’ve broken down the steps to ABA billing into a clear and simple guide you can follow.
✅ ABA Billing Step 1: Verify Insurance and Eligibility
Before any services begin, confirm the client’s insurance details:
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Check active coverage and behavioral health benefits
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Confirm plan-specific requirements (like deductibles or copays)
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Note any limits on ABA sessions or hours
💡 Pro Tip: Save this information securely and update it quarterly to avoid billing rejections.
✅ Step 2: Obtain Prior Authorization
Most payers require pre-approval before treatment begins. Authorization includes:
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Submitting an initial assessment or treatment plan
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Documenting medical necessity
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Tracking expiration and renewal dates
💡 Missed authorizations are one of the top reasons for denials in ABA billing.
✅ Step 3: Track and Document Sessions Properly
Accurate documentation is critical. Always include:
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Start/stop times of each session
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Type of service provided (supervision, parent training, direct therapy)
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Staff credentials and setting (in-home, in-school, etc.)
Use correct CPT codes like 97151, 97153, 97155, and include applicable modifiers (e.g., HM, HN, or GO for supervision levels).
✅ Step 4: Submit Claims Accurately
Once services are rendered and documented, submit claims through your billing software or clearinghouse.
Make sure to:
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Match codes to payer-specific guidelines
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Double-check authorization numbers and patient info
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Use a CMS-1500 form if billing manually
✅ Step 5: Monitor Payments and Manage Denials
Stay on top of Explanation of Benefits (EOBs) and remittance advice to:
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Track what was paid vs. denied
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Identify patterns in rejections (missing modifiers, incorrect codes, etc.)
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Appeal denials promptly with corrected claims or additional documentation
✅ Step 6: Reconcile Payments and Bill the Patient
Once payments are posted:
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Record all transactions
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Send statements to patients for any remaining balances
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Set up payment plans if needed
💡 Transparency and consistency here build trust with families and strengthen your practice’s reputation.
📚 ABA Billing Steps Related Readings
💼 Let Us Handle Your ABA Billing
Following all these ABA billing steps is time-consuming, especially while managing sessions, staff, and treatment plans. That’s where we step in. We’re not just a billing company — we’re your back-office billing team.
With decades of experience in ABA billing services, we help behavioral health providers:
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Get reimbursed faster
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Reduce claim denials
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Stay compliant with payer policies
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Focus more on client outcomes, not billing headaches
📞 Call us today: 844-TAYLOR-9 (844-829-5679)
🌐 Visit us on the web
📧 Message us here
Your point of view caught my eye and was very interesting. Thanks. I have a question for you.
Thank you so much! I really appreciate your feedback — it’s always encouraging to hear that the point of view shared in the post stood out and resonated with you. If you’re exploring more about ABA Billing Steps or have any questions, I’m always happy to help or dive deeper into specific topics.
Thanks again for reading and connecting!
Warm regards,
Taylor Prime Solutions
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Thank you so much for your kind message! I’m truly glad the article gave you hope and support. You’re definitely not alone — many providers feel overwhelmed when starting out, but just taking the time to learn the ABA Billing Steps is a powerful first move.
I’d be happy to help answer your question! Please feel free to share what you’re unsure about regarding the article or any part of the ABA billing process, and I’ll do my best to guide you.
Looking forward to hearing more!
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Sure what is your question regarding ABA Billing Steps? You can also skim through the other blog posts we have if that can answer any of your questions. ABA Billing Steps Related Readings
Common ABA Denial Codes and How to Address Them; ABA Therapy Billing Services: Full Support from Verification to Reporting; How to Verify a Provider’s Status for Billing Purposes; Also Please feel free to send us an email or give us a call.
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
Thank you so much for your kind words and for taking the time to read multiple posts — that really means a lot! I’m glad you’re enjoying the blog and finding value in the content.
If you ever have questions about any of the topics we cover, especially around ABA Billing Steps, feel free to ask. We’re here to help make billing simpler and more manageable for providers like you.
Thanks again for your support!
Warmly,
Taylor Prime Solutions