Choosing the Right Technology for Accurate, Compliant ABA Claims

As ABA therapy providers expand services across Maryland, selecting the right billing software becomes critical to clinical and financial success. From supporting CPT code accuracy to managing payer-specific requirements and reducing claim denials, the right Maryland ABA billing software ensures that providers can focus on care while maintaining a healthy revenue cycle.

This guide explores the key features, benefits, and considerations when evaluating ABA billing software, specifically for providers in Maryland.

What Is ABA Billing Software?

ABA billing software refers to a digital system that facilitates:

• Claims submission

• CPT/HCPCS code management

• Authorization tracking

• ERA/EOB posting

• Patient invoicing

• Reporting & analytics

The best Maryland ABA billing software integrates clinical documentation, payer logic, compliance tools, and financial tracking — all under one secure platform.

Why Maryland Providers Need Specialized Software

Billing for ABA therapy is complex on its own. But in Maryland, state-specific guidelines from Medicaid and Managed Care Organizations (MCOs) introduce another layer of detail.

A generic billing tool may not account for:

• Maryland Medicaid’s authorization protocols

• Time-based CPT codes (like 97153 or 0362T)

• Group and supervision billing logic (97155)

• Payer-specific modifiers and documentation needs

Providers need software tailored to behavioral health that is capable of keeping up with payer updates, denials, and audit readiness.

Related: Read about our Maryland ABA Billing Procedures

Key Features to Look for in ABA Billing Software

✅ 1. CPT Code Automation

Look for systems that support ABA-specific codes like 97151, 97153, 97155, and 0362T, with built-in logic for duration, location, and modifiers.

✅ 2. EMR & Clearinghouse Integration

Seamless integration with platforms like CentralReach, Kipu, TheraNest which is now Ensora Mental Health, SimplePractice, and clearinghouses like Office Ally or Waystar helps avoid data entry duplication and transmission errors.

✅ 3. Authorization Tracking

The best systems alert your team to expiring authorizations, visit limits, or missing clinical documentation — preventing denied claims.

✅ 4. Real-Time Reporting

A powerful dashboard provides transparency into:

• Aging AR

• First-pass resolution rates

• Collection trends by payer

• Reimbursement by code

Need more insights? Check out our Maryland ABA Billing Solutions

Recommended ABA Billing Software for Maryland Providers

Here are a few of the most widely used platforms compatible with Maryland ABA billing requirements:

Each tool offers something different — and success depends on how well the software integrates into your team’s workflow.

Do You Need Billing Software If You Outsource?

Yes, but it depends on your workflow.

At Taylor Prime Solutions, we work with your existing billing software or EMR, eliminating the need for you to learn a new system. Whether you use CentralReach, Kareo, SimplePractice, or another tool, we log in securely, handle claims, and manage your revenue — while you retain full visibility.

In some cases, we’ll even recommend new software if your current platform isn’t scalable or Medicaid-ready.

Final Thoughts

Choosing the right Maryland ABA billing software is a foundational decision for your practice. It affects your collections, compliance, workflow, and patient experience.

By selecting the right technology — and pairing it with expert billing support — you can improve reimbursement, reduce stress, and regain time for what matters most: your clients.

💬 Need Help Selecting the Right Billing Software?

📞 At Taylor Prime Solutions, we help ABA providers in Maryland navigate the software landscape and optimize their systems for better results. Whether you’re looking to improve billing accuracy, eliminate denials, or switch platforms, we can guide you every step of the way.

👉 Contact us today or call 844-TAYLOR-9 for a free consultation. Visit our contact page and send us a message to get started.

Let’s simplify your billing and set you up for success.