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News & Articles

7 RCM Metrics Every Therapy Practice Should Track

Learn the 7 essential RCM metrics therapy practices should track to monitor billing, manage A/R, reduce denials, and improve cash flow across ABA, OT, PT, and SLP services.

New York Medicaid ABA Rate Cut: How the Lowest Rate in the U.S. Could Affect Providers

Starting October 1, 2026, New York Medicaid pays $9.63 per unit for CPT 97153. That's a 50% cut in 12 months. What ABA providers should check before the new rate hits.

2027 ABA CPT Code Changes: Every New, Revised, and Deleted Code

Every 2027 ABA CPT code in plain English. Six new codes, eight revised, two deleted. Descriptors, units, and documentation rules for providers and billers.

Insurance & Open Enrollment in Illinois: A 2026–27 Guide for Families of Kids with Special Needs

Illinois open enrollment for 2027 closes December 31. What changed, what to ask your plan, and how to keep your child's ABA therapy covered.

ABA Maximum Allowed Amounts Starting May 1, 2025: What Providers Should Know

In the dynamic world of ABA therapy, keeping up with change isn’t just helpful it’s essential. If you’re working with Tricare under the Autism Care Demonstration (ACD), you’ll want to circle May 1, 2025, on your calendar. Read More About Amounts

How to Transform Your BCBA Career Into a Business

Start your own BCBA business with expert tips on credentialing, payer setup, and ABA billing. Learn how to build a HIPAA-compliant, financially sound ABA practice that supports growth, autonomy, and long-term success for behavior analysts.

Superbill Explained: What It Is, How It Works, and Why You Need One for Insurance Claims

Paying out of pocket for therapy? Learn how a superbill insurance form simplifies reimbursement, what details it must include, and how to submit it correctly for faster approval.

Medicaid Cuts in Trump’s Big Beautiful Bill Could Shatter Rural Healthcare

The Senate just passed President Trump's big medicaid bill by one vote - 51 to 50. Now it goes to the House, where even some Republicans are worried about how deep the cuts go.

Understanding the CMS-1500 (HCFA) Claim Form: Importance in Accurate Medical Billing

The CMS 1500 claim form ensures accurate medical billing, faster reimbursements, and fewer denials. It supports compliance, coding accuracy, and consistent cash flow for healthcare and ABA therapy providers.

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