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ABA Ops Compass

Comprehensive Due Diligence

Baseline assessment for Coastal ABA Therapy. Answers drive the recommended consulting package and identify gaps for remediation.

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Section 8 of 16

Billing and revenue cycle

  1. Billing structure

  2. Billing software utilized

  3. How are copayments and cost-shares collected?

  4. Describe authorization tracking process

  5. Describe denial management process

  6. Are units reconciled against documentation?

  7. Describe safeguards preventing duplicate billing, overbilling, billing without documentation, and unsupported units

  8. Are internal billing audits conducted?

  9. Current aging receivables

  10. Current outstanding recoupments

Consultant notes