Running a medical practice requires a lot of expertise and hard work. You will have your hands full between hiring providers, managing staff, dealing with supply and equipment purchases, and keeping patients happy. Most clinics, whether staffed by primary care providers, specialists, or therapists, depend on insurance billing to thrive financially.
Nearly every patient you see is paying fully or partially through health insurance. While you can try and manage medical billing in-house, most experts would advise against it — only clinics affiliated with large hospital networks should rely on their in-house teams to handle patient billing and insurance claims.
Below is our guide outlining four tips for choosing the ideal ABA therapy billing provider in 2023.
Top Benefits Of The Outsourcing ABA Billing
Healthcare providers are leveraging the benefits of the ABA billion outsourcing.
Here are some of them that the care units can leverage.
Reducing The Training Supervision And Hiring Costs
When you are looking to take the help of expert services, then you will only have to spend a little on your training and supervision of the in-house team. At the same time, you do not have to go for full-fledged hiring. Hence, it can help you save your costs.
Internal Staffing Cost Reduction
If you want to create an in-house team for the billing section, you will have to work hard on it. Furthermore, recruiting a staff filled with the best of the best of knowledge and expertise is hard to find. If you outsource the bills, then you can save quite a significant amount of money.
Reducing The Space In Your Office
One of the benefits of in-house billing is reducing the space in your office. Your office space is limited. If you are recruiting a full-fledged team for the billing section, it will easily consume your space. On the other hand, if you manage it through outsourcing, you can use space and increase your team strength on a priority basis.
Tips To Consider While Selecting Among The Best Aba Billing Outsourcing Providers
Selecting the billing outsourcing company is not that easy, and you must consider all the elements that help you select the convenient. Here are some tips that can help you opt for the best ABA therapy provider.
When hiring a company to handle ABA billing for your clinic, you should always choose the service provider with the most experience. A new company with little expertise in this area will make mistakes, which could be very costly to your clinic.
List the most reputable service providers with at least four or five years of experience in your area. Then you can assess other factors about these businesses before making a final decision on who to hire.
Another way to understand a company’s experience in this field is to ask them plenty of questions during the initial consultation. Talk to them about their other clients, ask about any challenging situations they faced when billing for ABA therapy, and ask them if they keep up to date on the latest insurance regulations.
2. Fee Structure
Whenever you hire an outside company to handle your clinic’s billing and insurance payouts, you must properly understand their fee structure. Even though their service is invaluable and will generate revenue for your practice, you do not want to bleed money to the service provider.
Assess the fees that various top-rated companies in the area charge before deciding on who to hire. Most of these companies calculate their fees based on units and the time they spend on each billing task.
Do not hesitate to negotiate regarding their rates as well. If you are eager to work with a specific company, but their rates are too high, mention that others are willing to work for you at a lesser rate. Even a slight reduction could bring them back into your ideal range.
Imagine hiring a third party to handle ABA therapy billing for your clinic but then being unable to reach them when there is a problem. Every healthcare practice must remember that the buck stops with your clinic for the patients.
If a patient or their guardian experiences an issue with their insurance regarding visits to your clinic, then you will have to resolve the matter with the patient. Such situations will require direct communication with the third party handling your billing and insurance payouts.
Before you hire any company, talk to them about their access policy. Is there a dedicated person you can reach during business hours if there is an issue? What are the fastest ways to get in touch with the company? Can anyone in your area drop by within a few hours if a severe issue needs resolving?
The top-rated companies that handle ABA therapy billing are proud of their work for medical practices and hospitals in the area. They will gladly provide a list of their clients, while many businesses should have references ready for you to assess during the initial consultation.
Contact some of those healthcare practices to gauge their opinion of the company. You may even know managers or providers at those practices. Getting first-hand information about the ABA therapy billing service provider will reassure you of their quality.
In a world where every interaction between patients and providers presents an opportunity for billing, performing due diligence on a billing service provider is essential.
When running a clinic focusing on applied behavioral analysis therapy, you must juggle many moving parts daily. Ensuring providers are seeing enough patients, staggering staff shifts to ensure coverage for the whole day, and dealing with unexpected problems is all part of managing such a practice.
Your ABA therapy billing is a pivotal area where you cannot afford to drop the ball. How you bill insurance companies will directly impact the money your business makes each month and the smooth running of your business.
You can maximize your payouts with minimal fuss by using the above tips to hire the ideal ABA therapy billing service provider.