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Understanding NPI, Tax ID and Taxonomy Codes

Individual NPI’s are obtained by all providers rendering services to patients. This NPI is unique to them and will stay with them for their … See more

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URL: https://www.ababilling.net/blog/understanding-npi-tax-id-and-taxonomy-codes/

ABA Therapy Insurance Eligibility—7 Steps to Avoid a False Positive

WebNew York, NY 10001. Phone: (877) 988-8871. 7-step guide for ABA Therapy intake coordinators to ensure that their patients are eligible and covered for ABA Therapy …

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Health Insurance and ABA Therapy: Obtaining Authorizations as a

Web49 W 27th St, 8th floor, New York, NY 10001. Phone: (877) 988-8871. Whether a provider is in-network or stays out-of-network, insurance companies usually …

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ABA Therapy Credentialing—How BCBAs can get started

WebWe hope these tips are helping you get started on your way to working with insurance companies for the ABA Therapy services that you are providing to the Autism …

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Webinar and Blog: Back to Basics: Verifying ABA Benefits with …

WebThe rules for primary and secondary are often established by state and federal laws. Some basics include: Medicaid is always the payer of last resort, behind …

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New CPT Codes: What We Learned When the T-Codes Were …

Web49 W 27th St, 8th floor, New York, NY 10001. Phone: (877) 988-8871. (and How to Make it Through the Transition) Guest post by Emily Roche As most of us know, …

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ABA Insurance Denials: What to do when insurance says NO!

WebOften up to 180 days. Be sure your provider rep is aware of issue –send in writing to rep. Follow up to confirm appeal was received, ask if they give a “case #” or “appeal ID” …

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Understanding Rendering Provider: Part 5

Web49 W 27th St, 8th floor, New York, NY 10001. Summary As organizations work with health insurance funders, one of the most critical items to thoroughly …

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Understanding Rendering Provider: Part 2

WebSummary As organizations work with health insurance funders, one of the most critical items to thoroughly understand is how to use the Rendering Provider …

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Claims Management

Web49 W 27th St, 8th floor, New York, NY 10001. Case Studies We create custom revenue cycle management solutions for ABA therapy providers who care for children in the …

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Provider Portals: What are they

Web49 W 27th St, 8th floor, New York, NY 10001. Summary Provider portals are a useful tool that insurances companies use to give you information on the spot …

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HIPAA vs State: Which Privacy Laws Do I Follow

WebState laws are “more stringent” when they prohibit or restrict disclosures that would otherwise have been allowed under HIPAA. “More stringent” includes …

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Understanding Rendering Provider: Part 4

WebSummary As organizations work with health insurance funders, one of the most critical items to thoroughly understand is how to use the Rendering Provider …

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ABA Therapists—Tips for Credentialing through CAQH

WebABA Therapy Billing and Insurance Services logo is intellectual property of ABA Therapy Billing and Insurance Services. ABA Therapy Billing and Insurance …

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Understanding Rendering Provider: Part 3 – Types of Providers

Web49 W 27th St, 8th floor, New York, NY 10001. Summary As organizations work with health insurance funders, one of the most critical items to thoroughly understand is …

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The Waitlist Dilemma: What are the Key Characteristics of an …

WebA summary of the policy is: 1. Clearly Communicate Expectations for Waitlist Time. A realistic waitlist time should be communicated to caregivers at the onset of …

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Navigating Contracts, Credentialing, and Compliance Part 1: …

WebSeries: Working With Insurance—Navigating Contracts, Credentialing, And Compliance With continued growth in the ABA industry, the impact of insurance funding …

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Details of the CMS-1500 Claim Form

Web8.2.1 Obtain a National Provider Identifier (NPI) number (all claims must have the rendering provider’s name and NPI for processing). For ABA providers who do not possess an NPI …

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ABA Therapy Credentialing—6 Steps to Surviving an Optum/UBH …

Web1—Initiate an application with Optum/UBH and print out your “tool kits.”. The first step is, of course, to apply with Optum/UBH. Once they receive your application, …

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