Who we bill for

Claim check

Payor authorization rules✓
97153 + 97155 overlap✓
Units match session time✓
Medical necessity documented✓
Reviewed by your billing team before it goes out

Not sure how much managing your billing in-house is costing you?

Try our calculator →

ABA billing requires specialists who know its specificities

Billing for Applied Behavior Analysis is not like other medical billing:

Authorization structures vary by payor and by state.

A single session can involve multiple service codes depending on who delivered it, what was done, and how long it lasted.

Overlap rules and medical-necessity standards differ between commercial plans and Medicaid.

A team that has spent years in ABA billing can spot potential causes for denials before claims go out.

The people behind your revenue

Every specialist on Motivity's RCM team is hired with a minimum 5 years of experience in ABA billing.

They understand the payor relationships, the authorization cycles, and the documentation standards that determine whether your claims get paid on time.

KL

Kayla Lewis

Director of Revenue Cycle Management

"I've spent over a decade helping ABA clinics grow: building systems, tightening processes, and helping teams scale without losing the quality of care that got them there. I have an MBA, and most of my work sits where operations meets technology."

AH

Aly Harper

Manager of Revenue Cycle Management

"I've spent years in billing, mostly focused on ABA. Working across different platforms gave me a grounded view of the workflows, the recurring headaches, and what works for ABA providers. Day to day, I help organizations clean up their billing operations and make RCM more approachable."

LB

Lisa Burke

Billing Account Manager

"For 8 years I've worked across the full claim lifecycle, from authorizations to claims submission and denial resolution, plus AAPC classes in coding and compliant billing. ABA billing is where my interest in mental and behavioral health meets the work I do every day."

AB

Amanda Brown

Billing Account Manager

"I've been in medical billing and coding for the past 4 years. I'm passionate about the impact our work has behind the scenes. While providers focus on changing lives through therapy, we make sure the financial side doesn't get in the way with efficient billing and fewer denials."

BC

Brittani Chumbley-Plaugher

Billing Account Manager

[Bio placeholder, to be provided]

EP

Eboni Pablo

Billing Account Manager

[Bio placeholder, to be provided]

Kayla Lewis, Director of Revenue Cycle Management at Motivity

Kayla Lewis

Director of Revenue Cycle Management at Motivity

"I've spent over a decade helping ABA clinics grow: building systems, tightening processes, and helping teams scale without losing the quality of care that got them there. I have an MBA, and most of my work sits where operations meets technology."

Aly Harper, Manager of Revenue Cycle Management at Motivity

Aly Harper

Manager of Revenue Cycle Management at Motivity

"I've spent years in billing, mostly focused on ABA. Working across different platforms gave me a grounded view of the workflows, the recurring headaches, and what works for ABA providers. Day to day, I help organizations clean up their billing operations and make RCM more approachable."

Lisa Burke, Billing Account Manager at Motivity

Lisa Burke

Billing Account Manager at Motivity

"For 8 years I've worked across the full claim lifecycle, from authorizations to claims submission and denial resolution, plus AAPC classes in coding and compliant billing. ABA billing is where my interest in mental and behavioral health meets the work I do every day."

Amanda Brown, Billing Account Manager at Motivity

Amanda Brown

Billing Account Manager at Motivity

"I've been in medical billing and coding for the past 4 years. I'm passionate about the impact our work has behind the scenes. While providers focus on changing lives through therapy, we make sure the financial side doesn't get in the way with efficient billing and fewer denials."

"I've spent over a decade helping ABA clinics grow: building systems, tightening processes, and helping teams scale without losing the quality of care that got them there. I have an MBA, and most of my work sits where operations meets technology."

Kayla Lewis

Director of Revenue Cycle Management at Motivity

Customer story

“The cash flow that we’ve experienced over the last six to seven months has been more consistent than what we’ve ever had since opening in 2019.”

Bethany Craig Oliver

Owner at North Georgia Autism Center

Read the full story →

"I can't stress enough to you how thankful I am. You have all these people doing all this work and you don't see it come through on a monetary end... I've been stressed out for like a year and not paying myself, and I can finally pay myself on Friday."

ABA specialized practice owner, Nashville

Kayla LewisAly HarperLisa BurkeAmanda Brown

Want our team to look at your revenue data?

Talk to us and get a free revenue cycle audit

Get a free audit

The billing team works inside your platform

When clinical data, authorizations, credentials, and billing all live in the same system, every claim starts from verified data. Motivity's RCM team doesn't wait for exported spreadsheets or re-entered data because they see what your clinical team sees in real time.

How it works

01Foundation

Payor rules, configured once

Payor rules and authorization requirements are configured once per payor at setup. These rules flow through every downstream step automatically.

Motivity platform

Applies those rules to every session and claim

Your billing team

Maps your payor contracts, authorization rules, and compliance thresholds at onboarding

5+ years of ABA billing experience, minimum, for every specialist

Payor rules

Authorization requirements✓
Service codes✓
Compliance thresholds✓
Set up by your billing team
02Before the session

Authorization and eligibility, verified first

Authorization and eligibility verified before sessions are scheduled.

Motivity platform

Checks authorization and eligibility before scheduling

Your billing team

Sees the same authorizations your clinical team sees, in real time

Session scheduled

Authorization verified✓
Eligibility verified✓
Visible to your billing team
03At the session

Documentation that’s claim-ready

Session documentation with required fields, units, and signatures enforced at point of care. Credentials and compliance monitored continuously.

Motivity platform

Enforces required fields, units, and signatures

Your billing team

Works from verified session data, not exported spreadsheets

Session note

Required fields✓
Units✓
Signatures✓
Credentials current✓
04Every claim

A team on every claim

An RCM team that reviews, submits, and follows up on every claim.

Motivity platform

Generates claims from validated session data

Your billing team

Investigates denials at the root cause, corrects, and resubmits

93%

first-pass claim resolution

Claim

Generated from session data✓
Reviewed✓
Submitted✓
Followed up by your billing team
05Result

Clean claims from the start

Fewer denials. Faster reimbursement. Predictable cash flow.

Motivity platform

Auto-posts insurance payments and matches them to claims

Your billing team

Reconciles discrepancies, identifies underpayments, and reviews trends with you every two weeks

65%

increase in collections in a single quarter at North Georgia Autism Center

Payment

Posted✓
Matched to claim✓
Underpayments flagged✓
Reviewed with you every two weeks

What our RCM team handles for your practice

Insurance intake review and payor mapping

→ Fewer denials

We configure your payor contracts, authorization rules, and compliance thresholds in the system at onboarding. Every claim inherits these rules automatically.

Claim generation and submission

→ From verified clinical data

Claims generate from validated session data, with authorization and service rules already enforced.

Denial management

→ Revenue recovered

Your billing specialist investigates the root cause, corrects and resubmits. Recurring denial patterns get flagged and resolved at the source.

Payment posting and reconciliation

→ Clear AR visibility

Insurance payments are auto-posted and matched to claims. Your billing team reconciles discrepancies and identifies underpayments.

Bi-weekly review calls

→ Regular visibility into your revenue cycle

Your billing specialist meets with your team every two weeks to review open claims, collection trends, and anything that needs attention.

Accounts Receivable (AR) reporting

→ Financial info you can act on

See what's billed, paid, pending, and overdue at a glance. Every report ties back to the sessions that generated it.

How to choose the right billing model for your ABA practice

Every ABA practice manages billing one of three ways. Each has trade-offs, and the right choice depends on your team size, claim volume, and how much visibility you need into the process.

In-house
Generic BPO
Motivity's RCM services
ABA billing expertise
Depends on who you hire
Rarely specialized
✓ 5+ years per specialist
Visibility into your revenue cycle
Full, but manual
Limited
✓ Full, inside your platform
Reconciliation between clinical and billing
Internal effort
Manual between systems
✓ Same system, no re-entry
Dedicated point of contact
Your staff
Account-level, often rotating
✓ Dedicated billing specialist

Certified and trusted

Not sure which billing model fits your practice?

Take our 2 minute quiz to find out
Preview of the Motivity in-house or outsourced ABA billing quiz

Let's talk about your revenue

Whether you're evaluating outsourced billing for the first time or looking to move from a general service provider to a team that knows ABA, we're here to walk through it.

Frequently asked questions about ABA billing services

Should I outsource my ABA billing or keep it in-house?

It depends on your team's capacity, your claim volume, and how much time billing is taking away from clinical and operational work. In-house billing gives you direct control but requires dedicated staff time and ABA-specific expertise. Outsourced billing removes the workload but can introduce visibility gaps if your billing team works outside your clinical platform. Motivity's RCM services provide you with ABA billing specialists who work inside your existing Motivity system, giving you both the relief of outsourcing and the visibility of managing it yourself.

Take the quiz →

What is revenue cycle management in ABA?

Revenue cycle management (RCM) in ABA covers the full financial lifecycle of a therapy session, from verifying the patient's insurance eligibility and authorization, through session documentation and claims submission, to payment posting and denial resolution. Effective RCM connects clinical workflows to billing processes so that every session delivered can be accurately billed and collected. In ABA, this is especially complex because of the number of service codes, authorization structures, and payor-specific rules involved.

What's included in Motivity's Revenue Cycle Management services?

Motivity's RCM services cover the full billing cycle for your ABA practice: payor contract setup and authorization rule configuration, claim generation from validated session data, claim submission and tracking, denial management and resubmission, insurance payment posting and reconciliation, accounts receivable reporting, and bi-weekly review calls with your dedicated billing specialist. Everything is handled by ABA billing specialists working inside your Motivity platform.

Do I need to use Motivity's practice management software to work with your RCM team?

Yes. Our RCM team works inside Motivity's platform because it's the system they know end-to-end, and it's what allows them to configure the right guardrails for your practice from day one: payor-specific rules, authorization tracking, documentation requirements, and compliance thresholds that catch errors before claims are submitted. Working inside a familiar, purpose-built system is what lets our specialists spot issues upstream. If you're currently on another practice management platform and want to explore moving to Motivity, our team can walk you through what that transition looks like.

Should I outsource my ABA billing or keep it in-house?

It depends on your team's capacity, your claim volume, and how much time billing is taking away from clinical and operational work. In-house billing gives you direct control but requires dedicated staff time and ABA-specific expertise. Outsourced billing removes the workload but can introduce visibility gaps if your billing team works outside your clinical platform. Motivity's RCM services provide you with ABA billing specialists who work inside your existing Motivity system, giving you both the relief of outsourcing and the visibility of managing it yourself.

Take the quiz →

What is revenue cycle management in ABA?

Revenue cycle management (RCM) in ABA covers the full financial lifecycle of a therapy session, from verifying the patient's insurance eligibility and authorization, through session documentation and claims submission, to payment posting and denial resolution. Effective RCM connects clinical workflows to billing processes so that every session delivered can be accurately billed and collected. In ABA, this is especially complex because of the number of service codes, authorization structures, and payor-specific rules involved.

What's included in Motivity's Revenue Cycle Management services?

Motivity's RCM services cover the full billing cycle for your ABA practice: payor contract setup and authorization rule configuration, claim generation from validated session data, claim submission and tracking, denial management and resubmission, insurance payment posting and reconciliation, accounts receivable reporting, and bi-weekly review calls with your dedicated billing specialist. Everything is handled by ABA billing specialists working inside your Motivity platform.

Do I need to use Motivity's practice management software to work with your RCM team?

Yes. Our RCM team works inside Motivity's platform because it's the system they know end-to-end, and it's what allows them to configure the right guardrails for your practice from day one: payor-specific rules, authorization tracking, documentation requirements, and compliance thresholds that catch errors before claims are submitted. Working inside a familiar, purpose-built system is what lets our specialists spot issues upstream. If you're currently on another practice management platform and want to explore moving to Motivity, our team can walk you through what that transition looks like.