Overview

Stop losing revenue to billing mistakes you didn't know you were making. In ABA practices, the gap between a clinic that thrives and one that quietly bleeds isn't the quality of clinical work - it's the quality of billing operations behind it. A missed authorization renewal. A silent payer underpayment. A modifier rule that changed last quarter. A telehealth claim submitted under last year's POS code. Each one is small. Together, they cost ABA practices tens of thousands of dollars every year. ABA Billing & Revenue Cycle Management: A Modern Field Guide for Providers and Billing Professionals is the practical playbook for getting paid - accurately, completely, and on time - in 2026's tighter, more complex payer landscape. Written for the realities of post-PHE telehealth, AI-assisted workflows, and increasingly aggressive payer audits, this field guide walks you through the entire revenue cycle from first intake call to final payment posted. Every chapter is built to be applied Monday morning. Inside, you'll learn how to: Run complete insurance verifications that prevent six-figure write-offs Decode the 97151-97158 CPT family in plain English, with documentation each code requires Apply modifiers (HO, HN, HM, 95, GT) and POS codes that get claims paid the first time Bill ABA telehealth correctly under 2026 rules, including hybrid in-person/telehealth sessions Write medical necessity language that produces first-submission authorization approvals Lift first-pass claim acceptance above 95 percent Read remittances to catch silent underpayments and hidden bundling Build an AR review rhythm that makes cash flow predictable Work denials at root cause - and escalate effectively when payers stall Audit-proof your practice against HIPAA, payer audits, and BCBA supervision standards Track the five KPIs that actually tell you whether your billing operation is working This book is for: New ABA billers looking for a foundation that won't be obsolete in a year Practice owners and BCBAs going independent who need to understand the operation behind the clinical work Experienced billers ready to move from claim-by-claim execution to operational leadership RCM professionals expanding into the behavioral health space Sixteen focused chapters. Real workflows. Honest assessments of what works in 2026 and what's still marketing. No fluff, no filler - just the practical knowledge that separates billing operations that grow practices from billing operations that drag them down. Whether you process ten claims a day or oversee a team that processes a thousand, the discipline in these pages will pay for the book many times over.

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