top of page

Blog


CAQH vs NPPES vs PECOS: What ABA Providers Need Before Billing Insurance
CAQH vs NPPES vs PECOS explained for ABA providers. What each system does, the right setup order, taxonomy codes and the mismatches that cause denials.

Anne Scholfield
Aug 3


Payment Reconciliation in ABA Billing: How Pacemave Prevents Revenue Leaks and Payment Errors
Payment reconciliation in ABA billing is the check that confirms three records agree: what the payer says it paid on the ERA, what your billing system shows against the claim and what actually hit your bank account. When those three don't line up, money is missing. Most ABA practices skip this step. They post the payment, close the batch and assume the payer got it right. That assumption is where revenue walks out the door, one underpaid 97153 unit at a time. What payment rec

Anne Scholfield
Jul 30


ABA Insurance Eligibility and Benefits Verification: Common Errors That Lead to Claim Denials
Learn which ABA insurance eligibility and benefits verification errors lead to claim denials, delayed payments, unexpected family balances and lost revenue.

Anne Scholfield
Jul 27


Health Insurance Claims Are Denied in UAE Clinics and How to Prevent Them
See why UAE clinics face rising health insurance claim denials, how a claim moves through eClaimLink and the specific steps that prevent most denials.

Anne Scholfield
Jul 25


ICN vs DCN vs Claim Control Number: Complete Guide for Medical Billing, Medicare & Claims
Learn the real difference between ICN, DCN and Claim Control Number in medical billing and Medicare, where each appears on a claim, and how mix-ups delay appeals.

Anne Scholfield
Jul 23


Rendering Provider vs. Billing Provider: Key Differences, Claim Rules & Examples (2026)
See the real difference between a rendering provider and billing provider in ABA billing, where each goes on a claim and how to fix common NPI mismatches fast.

Anne Scholfield
Jul 21


97155 CPT Code Description: Complete ABA Billing Guide, Documentation Requirements & Reimbursement (2026)
CPT code 97155 covers ABA protocol modification by a BCBA. See 2026 documentation rules, state reimbursement rates and the denials it triggers most.

Anne Scholfield
Jul 20


DSM-5 vs ICD-10-CM Codes: Key Differences Every Therapist Should Know
Learn the real difference between DSM-5 and ICD-10-CM codes in ABA billing, why claims need both and how mismatched codes trigger denials.

Anne Scholfield
Jul 17


How to Read an ERA in Medical Billing: Payments, Denial Codes & Adjustments Explained
Learn how to read an ERA in medical billing: decode payments, CARC and RARC denial codes and adjustments so your practice catches

Anne Scholfield
Jul 16
bottom of page