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Revenue Cycle Management for Applied Behavior Analysis ABA Therapy: Second Edition
This book is a guide to revenue cycle management (RCM) for Applied Behavior Analysis (ABA) therapy practices. It covers the entire RCM process, from credentialing and contracting with funding sources to patient intake, billing, and audits.
Key areas Understanding Defining RCM and its importance for financial success and compliance.Building a Identifying key team members and their roles in the RCM process, along with ethical standards and support resources.Practice Management Evaluating and implementing software to streamline RCM processes and improve efficiency.Working with Funding Navigating contracts and credentialing with health insurance funders and understanding in-network and out-of-network options.Insurance Verifying patient benefits and understanding different types of insurance plans and state mandates for ABA therapy coverage.Billing and Claims Coding correctly, submitting claims, managing denials and appeals, and billing patients for their responsibilities.Compliance and Maintaining ethical billing practices, conducting self-audits, and preparing for potential audits.The book provides practical advice, task lists, and key performance indicators (KPIs) to help ABA therapy practices manage their revenue cycle effectively and ensure financial stability. It also includes resources like a glossary of terms and sample forms.
Key areas Understanding Defining RCM and its importance for financial success and compliance.Building a Identifying key team members and their roles in the RCM process, along with ethical standards and support resources.Practice Management Evaluating and implementing software to streamline RCM processes and improve efficiency.Working with Funding Navigating contracts and credentialing with health insurance funders and understanding in-network and out-of-network options.Insurance Verifying patient benefits and understanding different types of insurance plans and state mandates for ABA therapy coverage.Billing and Claims Coding correctly, submitting claims, managing denials and appeals, and billing patients for their responsibilities.Compliance and Maintaining ethical billing practices, conducting self-audits, and preparing for potential audits.The book provides practical advice, task lists, and key performance indicators (KPIs) to help ABA therapy practices manage their revenue cycle effectively and ensure financial stability. It also includes resources like a glossary of terms and sample forms.
221 pages, Paperback
Published February 15, 2025
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