Managing insurance authorization paperwork

[megandavitt]

Hi everyone,

I'm a BCBA working with a small ABA clinic, and I'm hoping to get some input from other providers on managing insurance authorization paperwork. We're contracted with about 10 different insurance companies (United, Aetna, BCBS, Magellan, plus some regional payers). Each one has their own IA and TA forms, and treatment auths are especially time-consuming. We're pulling data from treatment plans, diagnostic reports, insurance cards, provider rosters, etc. and manually entering it into different forms. It's taking pretty much time per form. We want to grow our practice and serve more families, but this is a real bottleneck.

Does anyone have a system or workflow that's helped with this? Are there best practices for organizing client documents? Templates that help? Any software or tools that make this more efficient? Would really appreciate any insights from other clinic administrators or BCBAs who've dealt with this challenge. Thanks in advance

 

[the_tortoise]

My personal opinion is that ABA is pure evil that uses the same behavioural manipulation as predatory grooming behaviour.

Please read about the harms ABA can do, and the far more humane behavioural intervention strategies (for example TEACCH, Floortime, Occupational therapy incorporating sensory integration therapy) available rather than participating in what often amounts to dehumanizing torture.

Also be aware this forum is mostly autistic people - some feel ABA is helpful, others have been traumatized by it (including me -- taught me nothing but to be afraid, and that the people torturing and confusing me did not see me as human and cared only about controlling me; not about communicating with me, not about understanding my perspective or needs nor about helping me to understand theirs -- nor helping me to understand anything else or develop any real problem solving ability or adaptive behaviour -- it was just about compliance and control and cruelty, delivered inconsistently and with bizarre fake cheeriness ) .