BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM CARC
🟢 ABA Billing Services
Your Therapy, Our ABA Billing Service Seamless Integrations
Comprehensive ABA Billing Services, with accurate claims submission, seamless documentation, timely authorization follow-up and consistent revenue flow
Schedule a Call$2.5M
Total Claims Billed
92%
Claim Approval Rate
6.5%
Denial Rate
Overview
Comprehensive Billing Services for ABA Therapy Practices
ASP-RCM Solutions provides customized billing services for ABA therapy practices. It ensures compliance with payer policies and Medicaid updates, simplifies billing processes, and optimizes reimbursements
Navigating Payer Policies
Our team stays updated with changing payer policies, fee schedules, and reimbursement guidelines to ensure your claims are accurate and timely. This reduces rejections and expedites the revenue cycle
Medicaid and Insurance Expertise
We manage Medicaid requirements, copays, and deductibles for private insurance plans, ensuring compliance and helping you maximize revenue potential while staying current with market trends
Enhanced Revenue Cycle Management
By implementing efficient pre-billing, post-billing, and follow-up processes, we streamline the entire revenue cycle, from patient intake to payment reconciliation.
Customized Billing Solutions
Our proprietary solutions adapt to the unique requirements of ABA therapy practices, addressing challenges like documentation gaps, denial resolutions, and accurate code assignments
Support for Behavioral Health Growth
Through dedicated billing assistance, ASP-RCM enables ABA practitioners to invest time in improving patient outcomes, leaving the financial complexities to our expert team
Operations
Efficient Workflow Management for ABA Billing
Understanding and Tackling ABA Billing Complexities
Pre-Billing Process
Our pre-billing operations include patient data collection, insurance benefit verification, and prior authorization submissions ensuring all prerequisites are met before treatment begins, minimizing delays
Claims Submission
Accurate claims submission is achieved by adhering to CPT and HCPCS codes specific to ABA therapy. Documentation verification and proper use of modifiers ensure reimbursement accuracy and reduce claim rejections
Denial Management and Appeals
We analyze claim denials, identify root causes, and resubmit corrected claims promptly. Additionally, our team manages the appeals process to secure appropriate compensation for underpaid or denied claims
Technology Integration
Advanced billing software and EHR systems streamline workflows, automate repetitive tasks, and reduce manual errors. These scalable solutions adapt to the growth needs of your practice
Compliance and Audit Monitoring
Our team conducts regular audits to ensure adherence to federal and state regulations. We monitor payer guideline changes proactively and assist with external audits, ensuring transparency and compliance
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have safely received your patient and encounter data, we code, review, and send claims to payers. We also manage appeals and denials, track payments, and provide frequent updates. Our procedure is designed to be effective and open.
Our qualified coders and billing specialists evaluate every claim stringently. We employ quality control procedures, coding audits, and cross-referencing with payer requirements to guarantee accuracy and lower the possibility of denials.
Our denial management team examines every refused claim to identify the underlying reason. We quickly fix any problems and submit claims again, and where needed, we collaborate with payers on appeals to ensure you get the most money back.
Our pricing policy is adaptable and customized to meet every customer's demands. Usually, we charge a set fee based on volume or a portion of collections. Contact us for a quote tailored to your clinic's particular needs.
Indeed. Our specialty is smooth transfers from internal procedures or other billing businesses. To guarantee that all data is moved safely, our staff will collaborate closely with you and offer training as required.
Resources
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