- ASD-Specific Coding & Documentation
- Complete Billing & Claims Support
- Denial Management & AR Resolution
Simplified Billing & Documentation for Autism Providers
Our ASD Billing & RCM Services
Eligibility Verification & Prior Authorization
Confirm insurance coverage and secure prior approvals before therapy begins to avoid claim denials.
Patient Registration & Demographics Entry
Accurate intake of member data, payer details, and therapy plan information to ensure clean claims.
ICD, CPT & HCPCS Coding & Audits
Assign diagnostic and procedural codes (behavioral therapy, speech therapy, ABA, psychiatric or psychological services) according to payer guidelines and latest coding standards.
Charge Entry & Claims Submission
Submit claims for multiple therapy disciplines, ensuring compliance with payer policies and documentation requirements.
Payment Posting & Reconciliation
Handle remittance, co-pays, adjustments, and ensure proper tracking for each member and service.
Accounts Receivable & Denial Management
Active follow-up on unpaid or denied claims, appeals support, and resolution to safeguard revenue flow.
Clinical Documentation Improvement (CDI)
Audit charts and therapy reports to ensure medical necessity documentation supports ASD services and reduces risk of denials.
Therapy Mix & Multi-Specialty Coordination
Manage combined billing across ABA, speech, occupational, physical, psychological, and psychiatric services — ensuring correct bundling and compliance.
Reporting & Analytics
Custom reports on therapy utilization, denial trends, claim lag, and financial performance — helping you track agency growth and compliance metrics.
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Our ASD Billing Workflow
Our end-to-end workflow is designed to manage complexity with clarity. We streamline intake, documentation, coding, submission, and reconciliation — minimizing claim denials and maximizing clean reimbursement.
Intake & Eligibility Check
Collect patient demographics, insurance details, therapy plan, benefits and authorizations.
Documentation Review & Prep
Verify therapy plans, prescriptions, medical necessity, and prepare documentation for coding.
Coding & Charge Entry
Assign ICD-10, CPT/HCPCS codes for therapies (ABA, speech, OT/PT, psychiatric etc.) and enter charges accurately.
Claims Submission
Submit claims electronically or on paper per payer requirements; manage split-therapy claims across disciplines.
Payment Posting & Reconciliation
Post payer payments, patient payments, adjustments; reconcile AR.
Denial Management & Appeals
Track denials, identify root causes (documentation, authorizations, coding), resubmit or appeal with corrections.
Reporting & Optimization
Provide periodic reports on claims status, denial rates, revenue recovery, and therapy utilization.
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