The insurance industry's ABA billing and coding rules, reimbursement rates, and authorization requirements are constantly changing, making reimbursement for ABA therapy services a constant struggle. The introduction of new delivery models, such as online telehealth services, adds to the process's complexity.
For many ABA therapy providers, managing internal billing has become a time-consuming and resource-intensive task. Keeping up with regulatory changes and payer-specific nuances requires dedicated staff or external support, which can strain operational budgets. This burden often detracts from their primary mission of delivering high-quality care to patients, leaving providers to make difficult decisions about how to allocate their time and resources effectively.