Growth roadmap
From your first plan to a seven-figure practice.
Growing an ABA practice is mostly a billing question: who can pay you, how fast sessions turn into collected cash, and whether you can see problems before they cost you. Here is what has to be in place at each stage, and what we run for you there.
The roadmap, stage by stage
Before the first family
You, a plan and a license · floors 1, 2, 3Every payer you plan to bill can pay you, in writing, before the first session.
What has to be in place
- Payer lanes chosen on purpose: which payers actually cover ABA for the families you will serve
- Entity, Type 1 and Type 2 NPIs, taxonomy, CAQH and TDLR license all agree
- Enrollment and contracts tracked payer by payer, with a written effective date for each
Where clinics usually stall: Seeing clients before a payer has confirmed the provider is in network and effective.
First families
One BCBA and the first technicians · floors 4, 5, 6, 7Every session is covered, approved, documented and billed, and every denial has an owner.
What has to be in place
- Eligibility checked about 7 days before sessions, so authorizations are sorted at least 3 days ahead
- Authorizations tracked by dates and units, with renewals requested on time
- Claims checked against the note, units, modifiers and provider before they go out
- Every denial logged with a reason, an owner and a next action
Where clinics usually stall: Authorizations that lapse quietly, and denials nobody has time to work.
A steady rhythm
Two or three BCBAs · floor 8The owner reviews billing in minutes a week and only makes the decisions that need them.
What has to be in place
- A weekly summary: what moved, what is stuck and who owns it, what needs a decision
- AR split by payer and age, with filing and appeal deadlines in view
- A month-to-date report that shows how the month is tracking against plan
What switches on
Where clinics usually stall: AR over 90 days that nobody can see until it is too late to appeal.
Growth
Four or more BCBAs, more payers or a second location · floor 9Every new hire, payer and location is ready to bill on day one.
What has to be in place
- Credentialing started well before each new provider's start date, payer by payer
- A readiness check before any new payer, location or service line goes live
- Reporting split by provider and location, so growth doesn't hide problems
Where clinics usually stall: Hiring faster than enrollment, so new staff work for weeks before they can bill.
A seven-figure practice
Run by systems, not by heroics · floors 1–9All nine floors hold, every week, without the owner chasing anyone.
What has to be in place
- Every floor of the clinic has a named owner, a report and a rhythm
- Payer mix reviewed on purpose each year, including which plans cover ABA and which don't
- Month-end numbers the owner trusts enough to plan hiring and space against
What switches on
Where clinics usually stall: Assuming what worked at two BCBAs will still work at eight.
Growth planner
What would it take, with your numbers?
Type in your own clients, hours and rates. The planner shows what they add up to today, and how many clients, BCBAs and technicians the same numbers would need for $1M a year in collections.
Fill in your clients, hours, delivered share, rate and collected share, or try the made-up example.
Your answer shows here once the first five boxes are filled.
This is your own estimate from the numbers you typed, not a forecast or a promise. Real collections depend on your payer mix, contracted rates, authorizations, staffing, documentation and payer decisions. Nothing you type leaves your browser.
Want us to map your path?
On a free billing review we look at where your clinic is today, which floor to fix first, and which payers make sense for the families you serve. No PHI needed.
Book a free billing review