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What We Do
Denial Prevention & Root Cause Analysis in ABA Billing
Stop repeat denials by fixing the actual cause Denied claims impact cash flow and create avoidable rework. Fixing them without identifying the real issue leads to repeated denials and growing AR.
The authorization and documentation to see what actually caused the rejection. Once that gap is clear, we fix it in a way that holds for future submissions not just the current one.
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Modifier issues on common ABA codes like 97153 and 97155
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Rendering or billing provider mismatches
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Expired or invalid prior authorizations
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Payer-specific billing and policy requirements
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ABA Claim Correction & Resubmission Services
Reduce denial rates with continuous tracking and correction Handling denials individually does not improve long term performance. Identifying patterns is critical to reducing recurring issues.
Our denial monitoring and AR recovery process focuses on trend analysis and upstream fixes.
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Ongoing denial pattern tracking across payers
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Identification of recurring billing and authorization issues
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Process corrections before the next billing cycle
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Active follow-up on aging accounts receivable
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Insurance Denial Appeals for ABA Providers
Recover payments from denied but valid claims Not all denials are valid. Without structured appeals and proper documentation, revenue is lost unnecessarily.
Our ABA denial appeals process ensures every valid claim is supported, submitted, and followed through correctly.
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Medical necessity and authorization based appeals
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Clinical documentation and supporting records
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Payer specific appeal formats and timelines
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Continuous follow-up until final decision
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Denial Trend Monitoring & AR Recovery
Reduce denial rates with continuous tracking and correction Handling denials individually does not improve long term performance. Identifying patterns is critical to reducing recurring issues.
Our denial monitoring and AR recovery process focuses on trend analysis and upstream fixes.
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Ongoing denial pattern tracking across payers
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Identification of recurring billing and authorization issues
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Process corrections before the next billing cycle
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Active follow-up on aging accounts receivable
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Why Choose Us
At Pace Mave, we specialize in providing ABA therapy billing services and ABA therapy credentialing services that strengthen your practice’s financial health. With our end to end medical billing solutions and strong denial management in medical billing, our proven strategies help you maximize reimbursement, reduce avoidable claim denials and accelerate steady cash flow.
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Faster Payments with 98.9% Claim Accuracy
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Get Paid Quicker with Just 18 AR Days
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Resolve Denials in 48 Hours
What We Do
Solo BCBAs & Independent Providers
Doing billing after sessions means denials don’t always get proper attention. Small issues stay unresolved and payments get delayed without you noticing. We step in and review each denied claim, fix what went wrong and follow up with the payer until it’s closed.
Growing ABA Clinics
As you add RBTs and BCBAs, billing becomes harder to control. One mistake in setup or coding can affect multiple claims at once. We set up a clear process, check claims before they go out and fix denials quickly when they come back.
Multi-Location ABA Organizations
Different states and payers follow different rules, especially with Medicaid. What works in one clinic can lead to denials in another. We track billing across all your locations, adjust based on payer rules and fix issues before they repeat.
Practices with an AR Backlog
When claims sit too long, they move closer to filing limits and become harder to recover. Most backlogs happen when there’s no time to follow up consistently. We go through pending claims, fix errors, submit appeals where needed and follow up until there’s a final outcome.
ABA Denial Management That Fixes Root Issues
Denied claims, mismatched billing, and delayed follow-ups are the main reasons revenue slows down in ABA practices.
Our ABA denial management process focuses on fixing repeat errors, improving claim accuracy and keeping payments moving.
Same Denials Repeat
About 25–35% of denials comefrom
repeated issues.We fix the root
cause so new claims don’t
fail the same way.
Claims Sit Too Long
Claims not followed up within 7–10 days
often get delayed or missed. We keep
them moving until resolved.
Claims Sit Too Long
Claims not followed up within
7–10 days often get delayed
or missed. We keep them
moving until resolved.
Fix ABA Claim Denials and Improve Billing Approval Rates
Verify Patient Eligibility Before Every Claim
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Eligibility errors account for nearly 27% of ABA claim denials due to unverified coverage before sessions
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Confirm active coverage, ABA benefit limits, and payer enrollment prior to billing
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Identify inactive or ineligible policies early to stop rejected claims at submission
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Flag coverage gaps and benefit issues in advance to avoid billing-stage denials
Secure Prior Authorization Before Sessions Begin
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Prevent authorization related denials by tracking prior authorization status for each patient and payer
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Monitor approved unit limits and renewal timelines to avoid expired or lapsed authorizations
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Payer specific clinical documentation prepared in advance
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Ensure ABA sessions are delivered and billed within authorized periods to avoid rejections
Ensure Complete Clinical Documentation
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Prevent documentation denials by aligning session notes with CPT codes and modifiers
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Validate treatment plans against payer requirements to clearly support medical necessity documentation
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Review assessment records before submission to eliminate missing data and incomplete documentation
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Close documentation gaps early to improve claim accuracy and increase first approvals
Conduct Regular ABA Billing Audits
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Prevent recurring denials by identifying and tracking ABA denial patterns at the root level
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Review CPT codes, modifiers and unit billing accuracy to eliminate common claim errors
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Correct workflow and documentation gaps early to stop repeated submission issues
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Improve first-pass claim approval rates by continuously refining billing processes
Maintain Direct Payer Communication
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Follow up on pending and denied ABA claims with each payer so nothing gets missed
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Keep a clear record of every payer conversation to support appeals when needed
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Respond quickly when payers ask for more details or documents
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Resolve denials faster and keep payments moving without long delays
Pace Mave can integrate with any existing billing software
How Pace Mave Resolves and Prevents Claim Denials
Pace Mave’s approach to denial management is built on a comprehensive, proactive, and efficient system designed to ensure swift resolution and minimize the impact of denials on your practice’s cash flow. Denials are one of the biggest hurdles in medical billing often leading to delays in payment, revenue losses and administrative strain.
Denial Management
Denial management is all about stopping claim issues early and protecting the money your practice has already earned. With a strong management system in place, we review every denial, find what went wrong, correct missing details, tighten documentation and follow up with payers until the claim is cleared turning denials into recoveries instead of revenue loss.
Billing Process & (AR)
We run your entire billing and AR cycle with clean claims, accurate documentation checks and steady follow ups that keep everything moving. Every claim is tracked, updated, escalated, and closed on time, so your aging stays low and your payouts stay consistent and predictable.
Revenue & Cash Flow
We keep your ABA billing running smoothly, making sure every claim is clean, sent on time, and followed through until payment clears. With steady follow-ups and strong denial management, your reimbursements move faster, backlogs stay low and your cash flow stays steady and reliable month after month. We also handle accurate payment posting in medical billing, so every insurer payment, adjustment and patient balance is recorded correctly with no revenue slipping through the cracks.
PaceMave handles your ABA billing start to finish, coverage checks, clean claims, accurate provider setup, and expert denial management. We keep payments flowing smoothly so your practice runs stress free and revenue stays on track.
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."
- Bond
★★★★★
"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.”
- Lisa
★★★★★
“They helped our growing practice scale smoothly and reduced our admin workload by 50%. We’re genuinely satisfied with the results.”
- Fruzz
Frequently asked questions
ABA therapy Billing Service
Turn Your ABA Billing Services into a Reliable Revenue System
Expired authorizations make sessions unbillable. Our prior authorization management for ABA therapy tracks approvals.
Aging claims slow cash flow. In pacemave accounts receivable management team will follow up consistently to keep payments moving.
Small coding errors cause denials. Our ABA medical billing and claims submission review every claim before it’s sent.
Unenrolled providers stop billing. Our payer enrollment and CAQH management services remove delays quickly.
Billing without active coverage leads to rejections. Our insurance eligibility verification for ABA providers confirms benefits.
Denied claims often get ignored. Our ABA claim denial appeals and root cause resolution recover revenue fast.