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0 BACB General CEUs $0 43 min On-Demand

General CEU: Raven Health Presents: [ABA Startup Success 101] Understanding the Claims Process - From Service to Payment

Revenue cycle management (RCM) is not traditionally considered a clinical topic, yet for BCBAs who operate or work within ABA practices, the health of the billing and claims process directly determines whether the clinical mission can be sustained. An ABA practice that is technically excellent but financially unstable — due to high claim denial rates, slow payment cycles, or inadequate billing workflows — cannot maintain the staffing, supervision, and quality infrastructure that clinical excellence requires.

Provider: BehaviorLive — via Raven Health

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Course Description

In this insightful webinar featuring Tim Crilly, Laura Bundy, and Kelli Fawver, ABA providers are guided through the intricacies of the claims process, offering a roadmap to ensure faster payments and fewer denials. The discussion highlights the importance of accurate data entry, understanding payer requirements, and effectively managing denials. The speakers also emphasize how leveraging technology can streamline claim submission and monitoring. Through practical tips and real-world examples, the session helps ABA professionals navigate billing challenges to maintain a steady cash flow.

What You'll Learn

  1. Master the ABA Claims Process: Understand the key steps involved in the ABA claims lifecycle, from accurate data entry to navigating payer requirements, enabling BCBAs to streamline billing and reduce claim denials.
  2. Improve Denial Management Skills: Learn effective strategies for managing claim denials, including categorizing and tracking common errors, expediting appeals, and training staff to respond efficiently to payer rejections.
  3. Leverage Technology for Billing Efficiency: Identify how technology solutions can automate claim submissions, enhance data accuracy, and provide valuable insights into billing workflows, allowing BCBAs to optimize their practice's RCM.

CEU Credits Earned

Certification BodyCreditsType
BACB® 0
COA 0.5

About the Instructor

TC
Tim Crilly
BCBA

Tim has worked in the ABA field for 20 years and became a BCBA in 2011. Tim has worked for two national ABA companies in many capacities from both a clinical and operations perspective. Tim served as the Director of Clinical Autism Services for Magellan Health, where he oversaw a team of care managers responsible for reviewing and authorizing ABA therapy. In this role, Tim was involved in policy development, network development, and external partnerships. Tim currently works as the SVP of Strategic Partnerships at Raven Health. Tim brings his unique experience of having worked on both sides of the industry to this session.

#clinicalsupport#bcba#ABAChallenges#NewClinic#RCM#BCBAs#Claims#Billing
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Clinical Disclaimer

All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.

60+ Free CEUs — ethics, supervision & clinical topics