Guides

ABA Billing Guides.

Plain-language help for BCBAs dealing with denials, AR, credentialing, and payer confusion. Each guide belongs to one stage of the revenue cycle.

Decide you're really doing this — your own ABA practice.

Level 1 of 9 · Dream
Newest guideFoundations · Payer mix

Medicaid, commercial or TRICARE: how a new ABA practice chooses its first payers

A practical way to compare Medicaid, commercial plans, and TRICARE before a new ABA practice starts its enrollment queue.

6 min readRead guide
Level 2 of 9 · Clinic setup
Foundations · NPI and taxonomy

Type 1 vs. Type 2 NPI for ABA practices: which number goes where

A plain-language map of individual and organization NPIs, tax IDs, taxonomy codes, enrollment records, and claim roles for ABA practices.

6 min readRead guide
Level 5 of 9 · Authorizations
Operations · Authorizations

ABA prior authorization: what goes in the request and how long a payer has to answer

What to send, what to track, and which federal prior-authorization deadlines apply to specific payer types in 2026.

6 min readRead guide
Level 8 of 9 · Stable billing
Scale · Audit readiness

What federal auditors found in Medicaid ABA billing, and a monthly self-check for your own charts

What four state Medicaid audits found, plus a calm chart self-check grounded in the documented review subjects.

5 min readRead guide
Level 9 of 9 · Growth
Scale · Adding providers

Hiring a BCBA or RBT: what has to be done before their first billable session

A payer-by-payer readiness check for adding a BCBA or RBT without confusing a start date with a billable effective date.

6 min readRead guide
Level 4 of 9 · Benefits + intake
Operations · Insurance Verification

ABA Insurance Verification Checklist: What to Confirm Before the First Session

A pre-session insurance verification checklist for ABA practices: eligibility, network status, authorizations, cost share, and coordination of benefits.

8 min readRead guide
Level 6 of 9 · Clean claims
Operations · CPT Codes

Top 10 CPT Codes to Watch if You're a BCBA Running an ABA Clinic

A practical watchlist for BCBA clinic owners: the ABA CPT codes most likely to create denial, authorization, documentation, and AR friction.

8 min readRead guide
Level 3 of 9 · Payer credentialing
Foundations · Credentialing

How Long Does Credentialing Take for an ABA Practice?

Track ABA credentialing payer by payer: prerequisites, application status, missing items, written effective dates, and next actions.

3 min readRead guide
Level 8 of 9 · Stable billing
Scale · Billing 101

What Is AR in ABA Billing? A Simple Guide for BCBAs

Read ABA accounts receivable by payer, age, status, deadline, and next action without treating billed charges as guaranteed collections.

3 min readRead guide
Level 7 of 9 · Payments + denials
Operations · Denials

Why ABA Claims Get Denied — and How to Fix the Pattern

Use the payer response, supporting records, deadlines, and a named owner to choose the next supported action on an ABA denial.

3 min readRead guide