Welcome to McPhee
ABA Medical Billing
Specialized Revenue Cycle Management for ABA Therapy Providers
Why Choose us?
We help Applied Behavior Analysis providers maximize reimbursements, reduce claim denials, and streamline their entire billing process so you can focus on delivering quality care.
ABA Billing Experts
Deep knowledge of CPT codes 97151, 97153, 97155, 97156 & more
Maximize Reimbursements
We work to ensure you get paid accurately and on time
Compliance-Focused
We stay current with Medicaid & commercial payer requirements
About Us
McPhee ABA Medical Billing is a dedicated revenue cycle management company specializing exclusively in the unique billing needs of Applied Behavior Analysis (ABA) therapy providers. We understand that ABA billing is complex — from navigating prior authorizations to managing payer-specific rules for Medicaid and commercial insurers. Our team brings hands-on experience with the full billing lifecycle, ensuring that your claims are submitted accurately, tracked consistently, and followed up aggressively when needed. Whether you're a solo BCBA practice or a multi-location ABA clinic, we tailor our services to fit your workflow and goals.
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End-to-End Revenue Cycle Management
From eligibility verification to final payment posting, we manage every step of the billing process on your behalf.
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ABA-Specific Expertise
We specialize only in ABA billing, which means we understand the nuances of authorization workflows, session documentation
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Transparency & Communication
You'll always know where your claims stand. We provide regular reporting and are available to answer your questions.
Claims Processed Monthly
Clean Claim Rate
Insurance Payers Managed
Years of Experience
Our Services
Comprehensive ABA billing solutions designed to improve your cash flow and reduce administrative burden.
Insurance Verification
Before therapy begins, we verify each patient's insurance coverage, confirm active benefits, and identify any limitations or exclusions. This prevents claim rejections at the source and sets the right expectations for providers and families.
Prior Authorization Management
ABA therapy requires prior authorizations from most payers. We handle the entire authorization process — initial requests, ongoing renewals, and tracking expiration dates — so treatment is never delayed due to missing approvals.
Claim Submission
We prepare and submit clean claims using the correct ABA-specific CPT codes (97151, 97153, 97155, 97156, and related codes) in compliance with each payer's requirements. Timely, accurate submission is our standard.
Denial Management
Denied claims mean lost revenue. Our team analyzes each denial, identifies the root cause, and submits timely appeals with proper documentation. We work hard to recover every dollar your practice has earned.
Payment Posting & Reconciliation
We accurately post all payments — insurance and patient — to your accounts. Each explanation of benefits (EOB) is reviewed to confirm correct reimbursement, and any discrepancies are immediately addressed.
Accounts Receivable Follow-Up
Outstanding claims don't go unnoticed. We actively follow up on unpaid and aging claims with payers to ensure timely resolution and keep your AR clean and current.
Our Team
Meet Our Expert Team Members
Walter White
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Sarah Jhonson
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William Anderson
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Amanda Jepson
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Frequently Asked Questions
Have questions about ABA medical billing? We've got answers.
What CPT codes do you handle for ABA therapy?
We work with all standard ABA CPT codes including 97151 (Behavior Identification Assessment), 97153 (Adaptive Behavior Treatment), 97155 (Adaptive Behavior Treatment with Protocol Modification), 97156 (Family Adaptive Behavior Treatment Guidance), and several related codes. We stay updated as payer policies on these codes evolve.
Do you work with both Medicaid and commercial insurance?
Yes. We have experience billing both Medicaid programs and major commercial payers. Each payer has its own requirements for ABA claims, and our team is trained to manage the nuances of each one.
How do you handle claim denials?
When a claim is denied, we analyze the denial reason, gather any required documentation or corrections, and submit a timely appeal. We track all denials and appeals systematically to maximize recovery.
How does onboarding work for a new practice?
Onboarding is simple. We start with a discovery call to understand your current billing process and challenges. From there, we set up your account, gather necessary practice and payer information, and transition your billing smoothly — with minimal disruption to your operations.
Will I have visibility into my billing performance?
Absolutely. We provide regular reporting on claim submission status, payment rates, denial trends, and accounts receivable aging. You'll always know exactly how your billing is performing.
Is my patient and practice data secure?
Yes. We maintain strict HIPAA compliance across all our processes and communications. Your data is handled with full confidentiality and security standards.
Testimonials
Hear from our patients who have experienced the difference of compassionate and expert medical care. Their stories inspire us to keep delivering the best healthcare every day.
Saul Goodman
Ceo & Founder
My son was treated in the pediatrics ward and the experience was wonderful. The doctors made him feel comfortable and safe. As a mother, that peace of mind means everything to me.
Sarah Mitchell
Patient - Cardiology
The cardiology team here is absolutely outstanding. Dr. Anderson diagnosed my condition quickly and explained everything clearly. I feel healthier and more confident than ever. Highly recommend!
Ayesha wilson
Patient - Eye Care
The eye care department is top notch. Modern equipment, skilled doctors, and a friendly environment. My vision has improved significantly after treatment. I am truly grateful for their excellent service
James Whitfield
Patient - Neurology
After years of struggling with migraines, the neurology department finally gave me real answers and an effective treatment plan. The staff is caring, professional, and always available when I need them.
Robert Davis
Patient - Orthopedics
I had knee surgery here and the entire process from consultation to recovery was smooth and professional. The follow-up care was exceptional. I was back on my feet faster than expected!
Contact us
Learn how we can help solve the unique challenges of your hospital or health system.
Location
1301 SW 80th Terr., Plantation, Florida
Call Us
+1 954-683-1562
Email Us
info@mcpheehealth.com