ABA Billing & RCM Services
ABA billing, run by ABA specialists. Flat-fee pricing available.
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. Hand us the full revenue cycle or just the services you need, on a flat monthly fee or a percentage of collections. With a flat fee, a good month doesn’t raise your bill.
- Flat-fee option
- Targets agreed in writing
- BAA before data access
30%
Average increase in revenue
<8%
AR aged over 90 days
98%
Claim approval rate
25+
Years of combined billing & RCM experience
*Averages across current clients over their first 12 months. Methodology available on request.
Federal ABA audits, 2024–2026
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.
Claim Submission & Payment Posting
Accurate claim submission, timely payment posting, and reconciliation, with underpayments flagged.
Audit Readiness
Pre-claim documentation checks and periodic claim-to-note reviews, so a records request isn't a fire drill.
Pricing
Start free. Go deeper when you're ready.
Full RCM or individual services, on a flat monthly fee or a percentage of collections. 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
- Your denial trends, AR aging and auth workflow reviewed
- Top risk areas flagged on the call
Step 2 · Diagnostic
$499 one time
Audit-Readiness Check
- 20 paid claims checked against notes, auths and credentials
- Denial-rate benchmark
- Top 5 findings, each in dollars
- Report walked through with you in 5 business days
- Includes a 2027 code-readiness review
- Sets the baseline for your performance targets
- Can be credited toward full RCM
Step 3 · Ongoing
Flat fee or %
Full RCM or Individual Services
- Your entire revenue cycle, or only the services you need
- Flat monthly fee or a percentage of collections
- Performance targets agreed in writing
- Weekly KPI scorecard
How our pricing works
Pick the model that fits your cash flow, and pay only for the services you use. Everything is agreed in writing before we start.
Flat-fee option
Your bill stays the same when collections grow
Percentage option
Our fee tracks what we collect for you
Pay for what you use
Full RCM or individual services
Quoted upfront
Your fees in writing before day one
How it works
Onboarded in 5 days. No EHR switch.
01
Free Risk Review
30 minutes on your denials, AR and auth workflow.
02
Audit-Readiness Check
Your findings in dollars, plus your quote and proposed targets, in 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
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%
98%
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 targets
Targets in writing. Results you can see every week.
Every engagement starts with targets set from your own data and agreed in writing. You track them on your weekly scorecard, and we review them with you at day 90.
AR Recovery
Dollars recovered from aged claims, tracked weekly.
Denial Rate
A target set from your baseline, reported weekly.
Authorizations
Auth-related denials tracked by client and payer.
Credentialing
Every application tracked to approval.
Day-90 Review
Results against every target, reviewed with you.
Targets and service terms are set out in your agreement.
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. A dedicated team. One point of contact.
Raj Bhasin Founder
20+ years in operations, hands-on inside ABA practices. Built eClaims to stop billing leaks.
Mike S
RCM Lead
10+ years in healthcare RCM. Expert in ABA auths, denials and Medicaid MCO billing. Your billing lead.
Your Team
Billing & AR Specialists
Dedicated ABA billing specialists, HIPAA-trained, working under a signed BAA. Assigned, not rotating.
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
Also serving mental health and PT/OT/SLP practices
The same team, pricing options 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 price full RCM and individual services as either a flat monthly fee or a percentage of collections, depending on your practice and the services you need. We quote after a free Risk Review, based on your claim volume. A flat fee keeps your bill steady when collections grow. The $499 Audit-Readiness Check can be credited toward full RCM.
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 free Risk Review 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.
Is our data ever shared with other practices?
No. Each client's data is kept separate and is used only to perform that client's billing. It is never shared with, or visible to, any other practice or organization. This is written into our BAA.
What if we are not happy after we start?
You will see results on your weekly scorecard, so problems surface early and we fix them together. We review every target with you at day 90. Contract terms, including how to end service, are agreed in writing before you start.
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.
A call back within 1 business hour
Mon–Fri, 8am–6pm ET
BAA before any data access
Nothing shared on the first call
ABA-specific
We speak 97153, not generic medical billing
Book your free Risk Review
No patient data needed. We’ll send times that work for you.
