Articles
Insights from the practice-services bench.
Plain-language guides on credentialing, billing, payer contracts, and the operational realities of running an ABA practice. Written for practice owners, not for ourselves.
NPI Type 1 vs. Type 2: What Every BCBA Practice Owner Needs to Know
Individual NPI or organizational NPI — or both? For BCBA practice owners, getting this wrong creates billing errors, enrollment delays, and claim rejections. Here's how to get it right.
Read article The BCBA's Guide to Credentialing With Cigna, UHC, and the Big Commercial Payers
Cigna and UHC are two of the most complex credentialing processes in ABA. Here's what each requires, how long it actually takes, and what gets applications stuck.
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Single-Case Agreements: When to Use Them and How to Win Them
A family has a payer that doesn't contract with your practice. A single-case agreement may be the path to reimbursement. Here's when to request one and how to make the case.
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How to Choose an ABA Billing Company (Without Getting Burned)
Not all billing companies are built for ABA. Here's how to tell the difference before you sign a contract — and what to look for in a partner that actually knows this space.
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Expanding Your ABA Practice to a Second State: What Actually Takes Time
Multi-state ABA expansion is achievable. But the credentialing, Medicaid enrollment, and licensure timelines are longer than most practice owners expect. Here is what to prepare for.
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Telehealth ABA Billing: Codes, Payer Rules, and Common Pitfalls
Telehealth ABA billing is not a modifier away from in-person billing. Payer rules differ, documentation requirements are stricter, and the wrong modifier will get you denied. Here is what to know.
Read article The 8 RCM Metrics Every ABA Practice Should Track Monthly
Revenue cycle management is measurable. Every leak shows up in your data if you know what to track. Here are the 8 metrics that matter — and what good looks like for each.
Read article How to Negotiate Payer Contracts as a New ABA Provider
Most ABA practices accept the first rate a payer offers. That's a mistake that locks in for years. Here's how to negotiate — even in your first contract cycle.
Read article School-Based ABA Billing: What BCBAs Need to Know
School-based ABA billing involves overlapping legal frameworks, funding sources, and documentation requirements. Here's how it actually works — and where BCBAs get into trouble.
Read article Medicaid MCO Billing for ABA: What Changes State by State
Medicaid ABA billing isn't uniform. MCO requirements vary dramatically by state — and treating them like they're the same is one of the most expensive mistakes a multi-state practice can make.
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Cash Flow in the First Year: How ABA Practices Avoid the Billing Gap
The 90-day void between credentialing and first payment kills new ABA practices. Here's how to see it coming — and strategies to bridge it.
Read article Prior Authorization for ABA Therapy: A Payer-by-Payer Survival Guide
Prior authorization is where ABA care stalls and revenue disappears. Here's how to navigate it by payer — and build a workflow that doesn't slow you down.
Read article Why ABA Claims Get Denied — and How to Fix the Top 7 Reasons
The 7 most common reasons ABA claims get denied, the revenue impact of each, and the specific fixes that prevent them from happening again.
Read article The CAQH Setup Guide for New ABA Practices
Step-by-step instructions for setting up CAQH ProView as a new ABA practice — including common mistakes, document requirements, and how to avoid credentialing delays.
Read article ABA Billing Codes Explained: 97151–97158 and What Payers Actually Want
A plain-language breakdown of CPT codes 97151–97158 — what each one covers, how payers review them, and the documentation errors that trigger denials.
Read article How to Start an ABA Practice: The Complete Credentialing Roadmap
A step-by-step credentialing roadmap for BCBAs opening their first ABA practice — from NPI registration to payer contracts and everything in between.
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