Midwest ABA Clinic Group— Illinois
The Challenge
A 3-location ABA clinic group was experiencing a 28% denial rate on insurance claims and had over $400,000 in aging accounts receivable. Their billing team was overwhelmed, CPT codes were being applied inconsistently, and they had no visibility into their revenue cycle performance.
Our Solution
ABAGrowth Partners conducted a full ABA billing audit, identified the top 5 denial reasons, retrained the billing team on ABA-specific CPT coding, implemented a denial management workflow, and established weekly KPI reporting for the revenue cycle team.
Measurable Results
Recovered in uncollected ABA insurance revenue within 90 days
Claim denial rate reduced
Increase in monthly collections
"ABAGrowth Partners completely transformed our ABA billing operations. Within 90 days, we recovered over $380,000 in previously uncollected revenue. I wish we had called them two years earlier."
Dr. Sarah M., Clinical Director