This document discusses the challenges of billing in healthcare practices, especially those providing ABA therapy. It notes that basic in-house billing is often not enough due to changing regulations, unique therapy fields like ABA, and administrative demands. Outsourcing billing to an experienced partner can help by providing expertise, transparency, customized support, and a vested interest in the practice's success. The document provides tips for practices to assess their billing needs and select the right billing partner.

1. Understanding Your Billing Options
Are your finances in the right hands?
Featuring Emily Stowe, Managing Director, Bronco Billing

2. Why Do Practices Struggle?
• Changing healthcare climate
• New mandates
• Incessant changes: ICD-10 & T-codes
• Lack of standardization amongst payers
• Undefined rules & processes
• Therapy fields are unique
• ABA is “new”
• Overwhelming demand for clinical services

3. Why Basic Billing is Not Enough?
• Constant education is needed for provider relations and insurance
processers.
• Administrative demands are underestimated.
• Follow up and management (billing alone is not enough)
• Even great software requires GREAT people!
• Rejections and payment delays on clean claims
• Billing is the catch-all for ALL the organization’s issues, and that’s too late!

4. How to keep Billing In-house?
Keeping at least a portion of billing in-house can be smart and cost-effective.
• Efficient only with great management and workflows
• Hybrid billing arrangements are the way of the future:
• Outsource difficult payers
• Support internal staff
• Workflow and practice management

5. Why Hire a Billing Company?
• Growth and demand for services outpace the ability to manage effectively.
• Experienced experts in ABA and therapy billing practices are rare and hard to
find.
• A partner can equip you with knowledge to make better decisions in more
than just billing.
• Prefer having an expert and partner vested in your organization’s success– it
can be a lonely world!
• Transparency and training from people who have been there and done that.

6. A Distinct Difference
• “Outsourcing” doesn’t describe all billing companies.
• Implies lack of transparency
• Doesn’t suggest a partnership
• Find a partner.
• Important to collaborate on priorities and issues
• Should have clarity on all workflows and practices
• Involve them in all processes – start to finish
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7. Selecting the Right Billing Partner
• A reputable billing company offers:
• Transparency and training with ALL workflows
• Adaptability around industry change
• Experience in your field (ABA, speech pathology, etc.)
• An understanding of your goals and expectations
• A vested interest in your success
• Support beyond billing

8. Assessing Your Needs
• One size does NOT fit all
• Different Types of Models
1. Premier Billing Services
2. Management Services
3. Consulting services (maximize authorizations, profit
analysis, billing standardization, etc.)
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9. Found your Partner? Where to start:
• Clean up your data
• Know Your C.R.A.P. (Cash flow, Receivables, Analysis of payers, Practice
Management Workflows)
• Evaluate expenses (% revenue going to payroll, overhead, etc.)
• Goal setting
• Training
• Prioritize: eat the frog!

10. Questions for Bronco
Thank you for joining!
Interested? Contact Bronco:
Phone: 888-512-3397
info@broncobilling.com
For questions about CentralReach, please contact
careteam@centralreach.com