Applied Behavior Analysis Billing Codes: The Complete Guide to ABA CPT Codes
A BCBA in Ohio was doing everything right. Kids progressing, parents happy, notes done on time. Then the billing report came. $14,200 was denied last month and the reason was wrong codes. She billed 97153 for parent training. She billed 97153 for the group and also billed 97153 for assessment support, but the payer said […]
ABA Therapy CPT Codes Guide: 97152, 97154, 97155, 97156 and Everything Billers Get Wrong
If you bill for ABA therapy, you know how fast a claim can go wrong. One wrong code. One missing 15-minute unit. And you’re looking at a denial. Then you have to appeal. And that takes weeks. We’ve seen this before with so many ABA practices. They do great clinical work, but billing kills them. […]
How to Choose the Right Medical Coding Company for Your Practice?
Choosing a medical coding company is not like choosing a software or a printer for your office. This decision directly impacts your cash flow. I have talked to so many practice owners who told me the same story. “Our billing looks fine, but our A/R is 60 days. Denials are everywhere.” When we dig into […]
ICD-10, CPT, and HCPCS Codes: A Guide to Medical Coding Systems
A doctor writes one line, right knee osteoarthritis, office visit, X-ray done. That’s it. But that one line has to become three different codes before a claim can go out. One code for why the patient came, one for what was done, and sometimes a third for a brace or injection. That’s the part where […]
Medical Coding vs. Medical Billing: Key Differences Healthcare Providers Should Know
Look, you close your chart after seeing a patient, you’ve documented the HPI, exam, diagnosis, plan. You think your job is done. It’s not. That note now has to get paid. And that’s where most practices mess up because they think coding and billing is the same thing. Medical coding vs medical billing one is […]
How to Verify Patient Insurance Eligibility and Avoid Common Billing Errors
A claim might be coded exactly right, and yet it won’t pass because the patient’s coverage has expired at the end of the previous month. The survey of providers cited above shows that incomplete or incorrect patient information at registration causes 32% of claim denials, and Experian Health’s 2025 State of Claims report reveals that […]