.webp)
Expert-led ABA: Your Claims Deserve
More Than a Clearinghouse
ABA billing fails in the details. Authorization windows, unit-level errors, payer-specific rules, one overlooked requirement stalls revenue for weeks. Pace Mave handles the entire billing cycle, so your clinical team stays focused on outcomes, not paperwork.
From day one
Insurance verification through payment posting
No chasing claims
Proactive follow-up on every outstanding balance
HIPAA-compliant operations · ABA-specialist billers · Full RCM coverage
Pace Mave
What our ABA therapy billing services cover
Eligibility & Benefits Verification
Before services begin, we verify active coverage, plan details, co-pays, deductibles, authorization requirements, and payer-specific limitations. This helps your practice avoid preventable denials and gives your team a clearer picture of what can be billed from the start.
Prior authorization tracking and management
Accurate claims submission
We prepare and submit claims with close attention to 2026 CPT codes for ABA, modifiers, units, provider details, and supporting billing rules. The goal is simple: submit clean claims the first time and reduce the amount of rework later.
Denial management and accounts receivable follow-up
When claims are denied, delayed, or underpaid, we do not let them sit. Our team reviews the reason, corrects the issue, resubmits when needed, and follows up consistently with payers. This helps reduce aging AR and improve recovery across unpaid claims.
Payment posting and reconciliation
Payments are posted against the correct claims and matched with EOBs or ERAs to confirm that reimbursement is accurate. We also help identify discrepancies, underpayments, and missed balances so your numbers reflect what was actually paid.
Why Choose Us?
95%+ Clean Claim Rate
Built around clean claim standards that support faster payer acceptance and fewer preventable billing errors.
Below 3% Denial Goal
A stronger front-end billing process helps reduce avoidable denials and keeps reimbursement on track. The AAFP says keeping denial rate below 5% is more desirable.
Structured follow-up and tighter billing control help keep receivables moving and revenue more predictable.
95%+ Adjusted Collection Benchmark
Payment accuracy and active reconciliation help protect the revenue your practice has already earned.
ABA Therapy Clinics
Provider Agencies
Autism Service Programs
Behavioral Health Practices
Mental Health Treatment Centers
Who We Serve
Independent BCBAs
Solo Providers
Private Practices
Multi Specialty Therapy Groups (ABA, OT, ST, PT)
Integrated Clinics
ABA Therapy Billing Services Built Around Authorizations, Units and Payer Rules
Most ABA claims are not lost at submission. They are lost weeks earlier, when a reauthorization was never filed, a credentialing effective date had not landed, or a session note did not support the units billed. ABA therapy billing services exist to catch those upstream breaks. Before the claim: eligibility and benefits verification, prior authorization and reauthorization tracking, and credentialing and payer enrollment that keep BCBAs, BCaBAs and RBTs eligible to bill commercial insurance and Medicaid. At the claim: session note, the correct ABA CPT code from 97151 to 97158, billed units, rendering provider, place of service and modifiers checked against payer rules before it goes out. After the claim: clearinghouse acknowledgments, denial management, payment posting and AR follow-up worked against filing and appeal deadlines, not after balances age.
1
The denial that started 96 days earlier
Day 0, a reauthorization request is missed. Day 34, the claim goes out anyway. Day 51, it denies for no authorization on file. Day 96, the appeal window closes and roughly $8,400 in delivered therapy becomes unbillable. That denial was created on Day 0, not Day 51. We check authorization, units, CPT codes, modifiers and rendering provider before submission, and work denials while the appeal clock still has room.
2
Slow reimbursement usually has one cause
Payment slows when a claim sits in a status nobody owns. A clearinghouse rejection goes unread, a payer records request goes unanswered, an aged balance never gets a second touch. Every claim carries an owner and a next action from submission through adjudication, posting and follow-up.
3
A paid claim is not always a correctly paid claim
Underpayments hide inside remittances. Allowed amount under the contracted rate, units cut on a 97153 line, a modifier repriced, a secondary balance never billed. We reconcile posted payments against contracted rates so partial payments get appealed instead of written off.
4
Authorization limits surface too late
ABA services go non-billable when approved units run out, service dates expire, or reauthorization lands after the fact. We track remaining units and authorization end dates weeks out, so your BCBAs hear about a limit while there is still time to request more.
5
Outsourcing without handing over control
You keep your EHR. No migration, no clearinghouse switch, no rebuilt schedule. Eligibility, authorization tracking, submission, posting and payer follow-up move into a defined workflow and you keep visibility into every claim we touch. If your denial rate is already low and AR is clean, you probably do not need us.
6
Know where revenue is stuck, weekly
Claim status, denial reasons, AR aging buckets, authorization gaps and payment activity in one view, with what needs action and who owns it. Not a monthly PDF nobody reads. Start with an AR audit. Send your aging report and we will show you where the money is sitting and why, before you commit to anything.
Pace Mave can integrate with any existing billing software
Testimonials
What Our Clients Say
★★★★★
"They improved our clean claim rate to 95% through accurate claim submission. We’re satisfied with their attention to detail and handling of our ABA billing."
- Caroline
★★★★★
"Our revenue grew by over 30% in just a few months. Their accurate reporting and consistently responsive support made a real impact on our results.”
- Max
★★★★★
“They helped our growing practice scale smoothly and reduced our admin workload by 50%. We’re genuinely satisfied with the results.”
- Justin
Frequently asked questions
ABA billing is broken
Pacemave fixes it
Most ABA practices lose revenue not because they lack talent, but because billing is too complex to manage in-house. Pacemave handles the full revenue cycle, so your team can stay focused on client care.
CPT code updates and payer policy changes that slip through
Multi-therapist sessions billed incorrectly, triggering denials
Eligibility delays that stall claims before they even start
CPT code updates and payer policy changes that slip through
Multi-therapist sessions billed incorrectly, triggering denials
Eligibility delays that stall claims before they even start