What Is ABA Billing?

ABA billing involves submitting insurance claims, managing authorizations, and securing timely reimbursements for Applied Behavior Analysis therapy, a critical service for children and adults with autism and developmental conditions.

ABA therapy typically includes:
- Behavior assessments (CPT 97151)
- 1:1 session (CPT 97153)
- Program supervision (CPT 97155)

These ABA therapy services require exact documentation, session time tracking, and proper coding to avoid denials and delayed payments. If a clinic submits a 97153 claim without linking it to an initial 97151 assessment, many payers will deny it. That’s where specialized ABA billing services become essential.

ABA Billing Services

Why ABA Therapists Need a Dedicated ABA Billing Company

Top ABA Billing Challenges — And How We Solve Them

Challenge Our Solution
Outdated CPT codes or incorrect modifiers Up-to-date ABA CPT code library with compliance audits
Denied or underpaid claims management 48-hour turnaround on all denials and appeals
Delays in prior authorizations Dedicated auth specialists who handle submissions end-to-end
Manual data entry and paperwork Seamless integration with EHRs to auto-pull billing data
Complex Medicaid billing State-specific Medicaid billing expertise across the U.S.

How ANR Medical Billing Simplifies the ABA Revenue Cycle

Optimize Your ABA Clinic’s Cash Flow with Revenue Cycle Best Practices

Core ABA Billing Services We Offer

Who We Serve

Frequently Asked Questions (FAQs)

Common CPT codes include:
  • 97151 – Initial assessment
  • 97153 – Direct 1:1 treatment
  • 97155 – Supervision
Each has specific documentation, session timing, and therapist-type requirements.

ABA billing requires behavior-specific CPT codes, layered documentation, prior auths, and payer-specific rules that standard therapy often doesn't involve.

Documentation is everything. Insurers may reject claims without proper session notes, authorization links, and time logs, even for services already rendered.

We train our teams on state-specific rules, stay aligned with CMS updates, and use pre-bill compliance checks to avoid costly errors.

Yes! We support major EHRs like CentralReach, Rethink, AccuPoint, and more.

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