Safe Space - The ABA Podcast

Simplifying ABA Billing: Essential Tips for New Providers with Maria Capiris


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In this episode of Safe Space: The ABA Podcast, host Michelle sits down with Maria Capiris, owner of Piece by Piece Billing Solutions, LLC, to discuss the often-complicated world of ABA billing. Maria, an expert in billing for ABA therapy, created the "New Provider Toolkit" to help new and smaller practices navigate the complex billing landscape. Maria shares her journey of developing the toolkit, the key challenges she faced, and the crucial topics every new ABA provider should understand to keep their billing accurate and efficient.

Throughout the conversation, Maria delves into common billing pitfalls, including the impact of modifiers on reimbursement rates, the importance of credentialing across different insurance carriers, and the critical role of verifying insurance benefits. She also covers how to effectively manage claim denials, the significance of billing primary and secondary insurance in the correct order (including the "birthday rule"), and the benefits of outsourcing billing to streamline processes. Maria offers practical advice for providers, along with recommendations for software tools that can make a big difference in workflow efficiency.

This episode is a must-listen for anyone looking to better understand ABA billing, avoid common mistakes, and ensure consistent cash flow in their practice. Plus, Maria gives us a glimpse into future resources and updates to the toolkit that will continue to support providers in their billing journey.

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