ABA Billing & RCM Services
ABA billing on a flat fee. Targets guaranteed in writing.
Specialized revenue cycle management for ABA practices, from single clinics to multi-state groups. Authorizations, denials, AR and audit readiness handled by one accountable team, for one flat monthly fee. Never a percentage of your collections.
- No % of collections
- Written performance targets
- BAA before data access
<8%
Denial rate across client claims
<30
Average days in AR
<8%
Of AR aged over 90 days
10+
Years of ABA and behavioral health RCM
*Averages across current clients over their first 12 months. Methodology available on request.
Publish only figures you can document from client data. "98% approval rate" removed: it contradicted the denial rate.
ABA Billing & RCM Services
Your paid ABA claims can still be taken back.
0 of 400
sampled months of ABA billing came back clean in federal audits.
HHS-OIG audits of Medicaid ABA programs in Indiana, Wisconsin, Maine and Colorado: all 100 sampled enrollee-months in each audit had at least one improper or potentially improper claim.
Sources: HHS-OIG ABA audit series · CMS, Aug 4, 2026 · CASP, Mar 2026. eClaimsBilling is not affiliated with HHS-OIG, CMS or CASP. Billing issues do not necessarily lead to audits or recoupments.
Paperwork
Not just fraud
The ABA trade association (CASP) notes that many compliance issues are incorrect documentation of legitimate, preauthorized services.
421%
Growth in Medicaid & CHIP ABA spending, 2021–2025
vs. 67% growth in children served. CMS released a new ABA oversight toolkit for states in August 2026.
Already have a billing team? Get an independent second look.
Where ABA revenue leaks
Four gaps that cost ABA practices the most
Authorization leakage
Sessions delivered after an auth expires, or beyond approved units, become unbillable.
Notes that don't support the claim
Session times, units and codes that don't match the note put paid claims at risk of recoupment.
Supervision & credentialing gaps
97155 supervision and technician credential rules vary by payer and state. One gap can void a claim.
Aging AR
Medicaid MCO and commercial claims sit unworked and lose value every week.
One accountable ABA billing team
We work inside your EHR, check auths and documentation before claims go out, work every open claim, and report your KPIs weekly.
Everything between the session and the payment
ABA revenue cycle services
Hand us the full revenue cycle, or pick only the services you need.
Eligibility & Authorizations
Benefits checks, ABA carve-outs and auth tracking by client, with alerts before units or dates run out.
Denial Management & Appeals
Root-cause fixes, fast resubmissions and medical-necessity appeals that stop the same denials from coming back.
AR Follow-Up
Every open claim worked, prioritized by dollar value and timely-filing risk, across Medicaid MCOs and commercial payers.
Credentialing & Enrollment
Payer enrollment, CAQH and revalidations for BCBAs and RBTs, tracked so no one bills uncredentialed.
Payment Posting
Same-day ERA posting and reconciliation, with underpayments flagged against your contracted rates.
Audit Readiness
Pre-claim documentation checks and periodic claim-to-note reviews, so a records request isn't a fire drill.
Three ways to start
Start free. Go deeper when you're ready.
Works whether you bill in-house or use another billing company.
Step 1 · Free
$0
ABA Billing Risk Review
- 30 minutes with a senior ABA billing specialist
- Review of your denial trends, AR aging and auth workflow
- Your top risk areas, flagged on the call
Step 2 · Diagnostic
$499 flat
Audit-Readiness Check
- 20 paid claims checked against notes, auths and credentials
- Denial-rate benchmark
- Top 5 findings, each quantified in dollars
- Written report in 5 business days + findings call
Step 3 · Ongoing
from $[X] / month
Full ABA RCM
- Your entire revenue cycle, one accountable team
- Weekly KPI scorecard
- Targets guaranteed in writing (after baseline audit)
- $499 check credited to your first month
- Leave anytime in the first 90 days
Decide: (1) free review scope, confirmed with ops before the ad runs; (2) whether to credit the $499 check toward month one. Crediting removes the main objection to the paid step.
How it works
Onboarded in 5 days. No EHR switch.
01
Free Risk Review
30 minutes on your denials, AR and auth workflow.
02
Written plan
Flat fee and targets from your data, within 5 business days.
03
We take over
Weekly reporting; targets reviewed at day 90.
Your first 90 days
Days 1–5
BAA signed, EHR access, baseline KPIs captured
Days 6–30
Open AR worked, auths mapped, denial causes fixed
Days 31–60
Clean-claim workflow live, weekly scorecard shared
Day 90
Results reviewed against your written targets
Client results
Before and after eClaimsBilling
All figures below are sample data. Do not launch until each is replaced with a verified client result (client approval on file).
Multi-location ABA group
4 clinics · 60+ RBTs · Medicaid + commercial
KPI
Before
After 6 mo
AR over 90 days
24%
7%
Denial rate
19%
6.8%
Monthly collections
$310K
$412K
What we fixed: auth tracking per client, 97155 supervision documentation, Medicaid modifier errors.
Funded two new BCBA hires and cleared a 40-family waitlist.
Single-site Medicaid ABA clinic
1 clinic · 18 RBTs · 80% Medicaid MCO
KPI
Before
After 6 mo
Days in AR
58
29
Auth-related denials
11%
1.5%
Denial rate
16%
7.4%
What we fixed: MCO-specific auth rules, RBT credentialing gaps, session-note to unit mismatches.
Owner stopped doing billing at night and reclaimed 10+ hours a week.
Commercial-heavy ABA practice
2 clinics · in-home + center · 5 payers
KPI
Before
After 6 mo
Underpayments found
—
$38K
Clean claim rate
84%
97%
Net collection rate
89%
97%
What we fixed: contract-rate underpayment checks, place-of-service and modifier rules by payer.
Recovered underpayments covered a full year of billing fees.
Performance guarantees
Miss the target? We keep working, free, for 90 days.
Every engagement starts with targets set from your own data and confirmed in writing.
AR Recovery
2× our fee recovered in 90 days.*
Denial Rate
Agreed denial-rate target met by day 90.*
Authorizations
No denials from missing auths we track.*
Credentialing
Application accepted, or resubmitted at no charge.
Full RCM
Leave anytime in the first 90 days.
*If we miss the target, you get 90 additional days of the same service at no charge. Guarantees apply to engagements that begin with an Audit-Readiness Check or full audit. How we measure.
The flat-fee difference
No percentages. No surprises.
Most billing companies take a cut of every dollar you collect. We charge one flat monthly fee.
Tier set by your trailing 3-month claim average
No invoice spikes in busy months.
Month-to-month after 90 days
With a 12-month rate lock.
No hidden fees
Nothing extra for resubmissions, statements or reports.
Single clinic
Up to [X] claims / month
from $[X]
/ month
Growing practice
[X]–[Y] claims / month · 2–3 locations
from $[X]
/ month
Multi-location / multi-state
[Y]+ claims / month
Custom
flat monthly
Insert real "from" prices. Showing numbers backs up the "no surprises" claim and pre-qualifies leads.
Who runs your billing
Named people, not a call center
Use real names, photos, certifications (CPC, CPB, etc.), years in ABA billing and LinkedIn links. Decide deliberately whether to state any ABA operator affiliation.
[Full name]
Founder
[One line: ABA / healthcare operating background and why eClaims exists.]
[Full name], CPC
Director of RCM
[Years in ABA billing, payers and states covered.]
[Full name]
Compliance & Audit Lead
[Audit / compliance credentials and experience.]
What clients say
A billing partner they can count on
Quotes are from your original mockup. Only publish quotes a real client gave, with name, title, practice, city and written permission. Stars removed.
“eClaimsBilling has really helped our ABA practices. They've made our work run smoother and helped us bring in more money.”
[Full name]
[Practice], [City, State]
“eClaims has transformed our billing process. Our denials have significantly reduced and our collections have improved. Their team is knowledgeable and always responsive.”
[Full name]
[Practice], [City, State]
“Getting paid is way less stressful. Their understanding of billing for behavioral health has made a big positive difference for our office.”
[Name], Practice Administrator
[Practice], [City, State]
Works inside your ABA platform
Payers we bill
Text only, no logos, unless you have permission. Confirm every platform and payer listed is one you actively support.
Also serving mental health and PT/OT/SLP practices
The same flat-fee model and written targets.
FAQ
Questions ABA owners ask us
What triggers an ABA Medicaid or payer audit?
Common triggers include billing patterns that stand out from peers, high-intensity authorizations without clear documentation of medical necessity, session notes that do not support the units billed, and services delivered by staff without the required credentials or supervision. Federal HHS-OIG audits of four state Medicaid ABA programs found problems in these same areas.
How much do your ABA billing services cost?
We charge a flat monthly fee, never a percentage of your collections. Your tier is based on your trailing 3-month claim average, so there are no invoice spikes, and there are no extra fees for resubmissions, statements or reports.
What is the difference between the free Risk Review and the $499 Audit-Readiness Check?
The free Risk Review is a 30-minute session with a senior ABA billing specialist who reviews your denial trends, AR aging and authorization workflow and flags your top risk areas. The $499 Audit-Readiness Check goes deeper: we check a 20-claim sample against your session notes, authorizations and credentials, benchmark your denial rate, and deliver your top 5 findings quantified in dollars within 5 business days.
Do you work inside our EHR?
Yes. We work inside your existing system, including CentralReach, Rethink, AlohaABA and most major ABA practice platforms. We confirm compatibility on your discovery call before any engagement.
Is our patient data safe with an outside billing team?
Yes. We sign a Business Associate Agreement before we access any patient data, follow HIPAA-aligned processes, and use secure systems with role-based access. Your data is used only to perform your billing.
What if we are not happy after we start?
Full RCM clients can leave at any time in the first 90 days. After that, service is month-to-month with a 12-month rate lock. If we miss an agreed target, we keep working on that service for 90 additional days at no charge.
Free ABA Billing Risk Review
30 minutes with a senior specialist. No obligation. You leave with your top billing risks.
Let's talk
Find your billing risks
before a payer does
Book your free 30-minute ABA Billing Risk Review. We'll flag your top risks and recommend the right starting point.
Reply within 1 business day
A specialist, not a sales rep
BAA before any data access
Nothing shared on the first call
ABA-specific
We speak 97153, not generic medical billing
