Free self-check · about 3 minutes
ABA billing self-check: where is your clinic stuck? Twelve questions, one or two for each of the nine stages a clinic's billing moves through. Answer yes, not sure or no. When you finish, you'll see which floor to start on, the first three checks for it, and a free tool to help.
No PHI, no email, no sign-up. Your answers stay in your browser.
The 12 questions 1 Question 1 · Floor 1: DreamDo you know which payers you will bill first and why?
2 Question 2 · Floor 2: Clinic setupDo your Type 1 and Type 2 NPIs, taxonomy and CAQH all match what payers have on file?
Type 1 is each provider's own NPI. Type 2 is the clinic's.
3 Question 3 · Floor 3: Payer credentialingFor every provider and payer, do you have a written effective date?
3 Question 4 · Floor 3: Payer credentialingIf you bill Texas Medicaid, do you know that only the LBA enrolls and which managed care plans you're contracted with?
Texas Medicaid enrolls the Licensed Behavior Analyst, not the clinic. Each managed care plan then contracts and credentials separately.
4 Question 5 · Floor 4: Benefits + intakeIs eligibility checked about a week before each session, not the day of?
Our process target is 7 days ahead, so authorization problems can be handled at least 3 days before the session.
4 Question 6 · Floor 4: Benefits + intakeBefore a new client starts, do you know the family's cost share and which plan pays first if they have two?
5 Question 7 · Floor 5: AuthorizationsDoes someone own authorization renewals, with dates and units tracked?
6 Question 8 · Floor 6: Clean claimsAre claims checked against the note, units, modifiers and provider before they go out?
7 Question 9 · Floor 7: Payments + denialsIs every denial logged with a reason, an owner and a next action?
8 Question 10 · Floor 8: Stable billingDo you get a weekly summary that tells you what moved and what needs your decision?
8 Question 11 · Floor 8: Stable billingCould you say today how much of your AR is over 90 days old, by payer?
AR is money you have billed but not yet collected.
9 Question 12 · Floor 9: GrowthBefore a new BCBA starts, do you know which payers they can bill on day one?
Your answers stay in your browser. Nothing is sent to us, and there's no email to give. No PHI needed.
your clinic, floor by floor
9 Growth 0 of 1 answered 8 Stable billing 0 of 2 answered 7 Payments + denials 0 of 1 answered 6 Clean claims 0 of 1 answered 5 Authorizations 0 of 1 answered 4 Benefits + intake 0 of 2 answered 3 Payer credentialing 0 of 2 answered 2 Clinic setup 0 of 1 answered 1 Dream 0 of 1 answered
Each floor is one stage of the revenue cycle. Floors fill in as you answer.
This self-check is a starting point for a conversation, not an audit or legal advice. Payer rules change; confirm with the payer before acting. Billing4ABA is a billing service, not legal counsel.