ABA billing services
ABA runs on authorizations. Units used against units approved, expiry dates, and payer-specific rules for each code. When nobody tracks those, approved hours expire unbilled and claims come back for reasons that were preventable.
Twenty minutes. If your current billing is in good shape, we will tell you that.
Pull your active authorizations. For each client, compare units used against units approved, and flag any authorization that expires in the next thirty days with units still left on it.
The basics, since you will check anyway
Your lead biller is US based and has 8 to 15 years of billing experience, with a support team behind them. Invoisync has been doing this for 9 years.
Most of that comes from work nobody was doing: claims never submitted, denials never worked, and payments under the contracted rate.
We sign a Business Associate Agreement at onboarding. We work inside the EHR you already use, with nothing to install, and your data stays yours.
Contract renegotiation is an additional service we provide to new clients at no charge, as a way to raise what you are paid for the work you already do.
None of them shows up as a problem until the deposit is smaller.
The sessions happened and the notes exist, but the authorization expired before the units were submitted.
Units went out after the approval ran out or over its limit, and came back denied.
The payer's fee schedule says one number and the remittance says another. Nobody reconciles the two.
A client kept running long on follow-up visits. The schedule said one thing, the claim numbers said another, and the two never lined up. Our team asked about the gap.
The practice had been providing a service they did not know was covered. It was documented in the notes every time. It had never been submitted. We filed retroactively and it kept paying going forward. The level of care they wanted to provide stopped being a time cost, and growth became an option.
Step one
You check it yourself. The self-check above takes one report and about ten minutes. You do not need us for that part and you do not have to tell us what you found.
Step two
Twenty minutes on the phone. You tell us what you found and what you run on. We tell you what we would expect to find underneath it and what it takes to fix.
Step three
If you move, payer contract renegotiation is part of onboarding, at no separate fee. Rates set back when the practice was smaller are usually the second thing we find.
Any biller who works ABA should be able to answer these without going to look.
Which authorizations expire in the next thirty days, and how many units are left on each?
How do you stop units from going out after an authorization has run out?
Of last quarter's denials, how many were authorization related, and what happened to each?
Who requests reauthorizations, and how far ahead of expiry?
When did someone last compare your remittances to your contracted rates?
Can you hand me a list of every open denial and what has been done to it?