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Billing for ABA, speech, and OT services goes beyond getting paid—it’s about staying HIPAA-compliant and audit-ready. As regulations tighten, practices must protect patient data, use secure systems, and follow strict documentation and billing protocols. This guide walks you through key strategies to secure PHI, avoid costly penalties, and prepare for payer audits, so your practice remains compliant, efficient, and financially strong.

Revenue Cycle Management (RCM) is the foundation of a thriving therapy practice, covering everything from client intake to final payment collection. For ABA, speech, and OT providers, strong RCM reduces claim denials, speeds up reimbursements, and secures cash flow. It starts before the first session with proper eligibility checks and continues through accurate billing, denial tracking, and patient collections. A strong RCM process supports both your clinical team and busines

Georgia's Medicaid MCO updates are reshaping how ABA providers deliver and bill for services. As of March 2025, new policies under Georgia Families and 360° are causing credentialing delays, billing changes, and increased documentation demands. Providers must stay informed, audit claims closely, and ensure airtight documentation to avoid disruptions. Essential Billing Solutions is here to help you navigate these evolving requirements with confidence.

Insurance billing for ABA therapy can be a minefield of delays, denials, and evolving requirements. From authorization hang-ups to coding mistakes and credentialing confusion, these common insurance challenges can disrupt your revenue cycle and distract from client care. In this post, we break down the top five issues ABA providers face—and offer practical tips to overcome them.