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ABA Billing Services

Applied Behavior Analysis (ABA) therapy changes lives — but billing for it can drain your time and sanity. Between modifier confusion, payer-specific rules, delayed authorizations, and constant code updates, it’s easy for claims to get stuck in limbo. That’s where Swiftcare Billing steps in.

We specialize in ABA billing and revenue cycle management for therapy providers across the U.S. Whether you’re a solo BCBA, a growing ABA clinic, or a multidisciplinary behavioral center, our team helps you keep the focus where it belongs — on patient progress, not paperwork.

We Help ABA Therapists Get Paid Faster, Fairer, and Without the Hassle

Contact ABA Billing Expert Now

SwiftCare: Your Partner in Stress-Free ABA Billing

Swiftcare isn’t just another billing vendor. We act as your back-office billing team — experienced, responsive, and fully tuned into the realities of ABA therapy.
Our certified ABA billers handle the full billing cycle with precision and speed — from insurance credentialing and benefits verification to coding, claim submission, denial follow-up, and payment posting.

We understand the unique challenges ABA providers face:

  • Different rules for CPT codes like 97153, 97155, and 0362T
  • Prior authorizations that expire mid-treatment
  • Documentation errors that lead to denials
  • And the endless maze of payer-specific ABA requirements

Swiftcare untangles all that, so your revenue cycle runs smoothly from day one.

ABA Billing Challenges We Solve Daily

Most ABA therapy clinics struggle with:

  • Denials for missing modifiers (like 59 or TM)
  • Rejected claims due to documentation mismatches
  • Authorization lapses that delay sessions
  • Confusing payer-specific rules across Medicaid, Blue Cross, and private insurers

Swiftcare fixes all of that through proactive audits, continuous staff training, and a compliance-first approach. We turn your billing system from a stress point into a steady revenue engine.

  • Our Services

Our Complete ABA Billing Services

Every ABA session you deliver deserves full reimbursement. Swiftcare ensures it happens — accurately, quickly, and compliantly.

Insurance Verification & Eligibility

Insurance Verification & Eligibility

Before the first therapy session, we confirm patient coverage, authorization limits, and financial responsibilities. This prevents denials before they ever occur.

Prior Authorization Management

Prior Authorization Management

We track and manage all authorizations — initial, ongoing, and re-authorizations — so your therapy sessions never pause due to expired approvals.

Precise Coding and Claim Submission

Precise Coding and Claim Submission

Our certified billers use correct CPT and ICD-10 codes, modifiers, and payer rules to submit clean claims every time. We stay current with ABA code updates and payer policies so you never lose revenue to coding errors.

Payment Posting & EOB Reconciliation

Payment Posting & EOB Reconciliation

Swiftcare posts every payment and explanation of benefits accurately. You’ll always know what’s paid, what’s pending, and what’s owed — with transparent reports and real-time access.

Denial Management & Appeals

Denial Management & Appeals

We don’t let denials slip through the cracks. Our experts identify root causes, fix issues, and resubmit claims quickly — often within 48 hours — to recover your lost revenue.

Performance Analytics

Performance Analytics

We provide monthly revenue reports, denial trend analysis, and payer performance dashboards so you can make data-driven decisions about your ABA practice.

Why ABA Providers Trust Swiftcare

  • ABA-Focused Expertise: We understand ABA therapy billing isn’t the same as general medical billing. Our team specializes in behavioral health billing and knows how insurers interpret “medical necessity,” timed units, and modifiers for autism treatment.
  • Higher First-Pass Approval Rate: Our clean claim rate consistently exceeds 98%, meaning faster payments and fewer reworks. We scrub every claim before submission to ensure accuracy and compliance.
  • Faster Payments, Better Cash Flow: We know slow reimbursements can cripple small ABA practices. That’s why we track claims daily, follow up aggressively, and get you paid as fast as possible — often in days, not weeks.
  • 100% Transparency: With our secure, HIPAA-compliant client portal, you can view your claims, payments, and revenue reports anytime—no hidden processes. No guesswork. Just clarity.
  • Dedicated Account Manager: You’ll have a single point of contact who knows your practice, your payers, and your goals—no call center runaround — just a real person who actually cares about your results.

Who We Help

Our ABA billing services are built for:

  • Individual BCBAs and small ABA therapy practices
  • Pediatric and developmental centers
  • Autism treatment programs
  • Group practices and community behavioral clinics

No matter your size, we tailor our services to fit your volume, payer mix, and workflow.

Your Success Is Our Metric

ABA providers who switch to Swiftcare typically see:

20–30%

Increase in collections within 90 days

50%

Fewer claim denials

Faster

Reimbursements and predictable cash flow

We don’t just manage your billing—we help grow your practice.

Why Outsource ABA Billing to Swiftcare?

  • Because your time should go toward patient care, not paperwork. Outsourcing to Swiftcare means:
  • No need to train or manage billing staff
  • Fewer errors and faster claim turnaround
  • Better payer communication and appeals handling
  • Ongoing updates on payer rules and compliance

Simply put, we do the heavy lifting so your ABA team can focus on therapy, not numbers.

Let Swiftcare Boost Your ABA Practice Revenue

Behind every ABA session is a billable opportunity — and we make sure you get every dollar you’ve earned.

Let’s turn your billing headaches into predictable, worry-free revenue.

Request a Free ABA Billing Consultation Today

Frequently Asked Questions

What makes ABA billing different from regular medical billing?
ABA billing involves time-based CPT codes, strict prior authorization rules, and payer-specific documentation standards for autism therapy. Unlike general medical billing, each session’s notes, supervision time, and modifiers (like 59 or TM) must align perfectly for reimbursement. Swiftcare’s team specializes in ABA-specific requirements to make sure your claims are clean and fully compliant.

Most ABA practices begin seeing improved collections and fewer denials within the first 60–90 days. That’s because we start with a comprehensive revenue cycle audit, identify revenue leaks, and immediately optimize claim workflows. Our goal is simple — get you paid faster without disrupting your daily operations.

Yes. We handle ABA billing for Medicaid, Medicare, and all major private payers across the U.S., including Blue Cross, Aetna, UnitedHealthcare, and Cigna. We stay up to date on each payer’s ABA-specific policies to ensure your claims comply with their most recent rules.

Absolutely. Swiftcare integrates smoothly with most ABA and therapy EMRs, including CentralReach, Rethink, Theralytics, and SimplePractice. That means no double data entry, fewer manual errors, and faster claim turnaround.

Our denial management team reviews each denial in detail, identifies the root cause, fixes it, and resubmits the claim — often within 48 hours. We also track payer patterns and implement preventive measures to prevent the same issue from recurring. If a claim is underpaid, we pursue it until every dollar is recovered.

Yes, 100%. Swiftcare is HIPAA-compliant and uses advanced data encryption, secure servers, and restricted access controls. Your patient data and financial information remain fully protected under federal and state privacy regulations.

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