Every ABA clinic starts on spreadsheets. One tab for the schedule, one for authorizations, one for who still needs a CAQH attestation. It works fine at twelve clients. The trouble is that ABA clinic operations don't fail loudly when they outgrow that setup. They fail quietly, in the form of a claim nobody followed up on and an authorization that expired on a Thursday. Here's the short answer. If you're missing revenue you already earned, and nobody on your team can tell you w

EVV for ABA therapy is electronic visit verification applied to sessions delivered in a client's home. Federal law does not require it for ABA. A small group of state Medicaid programs do require it, and several states switched from warning flags to automatic claim denials in 2026, so home-based practices need matching visit records now. What is EVV for ABA therapy? EVV stands for electronic visit verification. It's a digital check-in and check-out system that records who del

Two numbers from a sample ABA practice audit. 90+ days: collecting at 99.08%.0 to 30 days: collecting at 48.46%. Read that the way most people read an aging report, oldest first, and the practice looks outstanding. Nearly everything old has been collected, which is usually the hardest part of the job. Read it the other way and the picture inverts completely. That practice had stopped billing. The excellent 90+ numbers were residue from work done months earlier, and the collap

Almost every deadline in billing has a way out. Denied for auth, you appeal. Denied for coding, you correct and resubmit. Denied for eligibility, you rebill the right payer. Timely filing is the exception. Miss that window and the claim is gone. Not disputed, not pending, not worth a phone call. Gone. Which makes it strange how casually most practices arrive at the number. In one sample ABA audit, a ABA billing team had been working to a 90-day filing limit on a payer that wa

Open your AR report and read the comments column. Not all of it. Five notes, picked at random. For each one, ask a single question: could you set a deadline based on what this says? Most practices fail that test badly. In one sample ABA audit, 47 AR follow-up notes were scored and two of them had an expected payment date on them. Two. The other 45 described activity without ever committing to a checkable outcome. That's not a documentation problem. It's a collections problem

There's a category of lost revenue that no report in your billing stack is built to display. It isn't denials. Denials are visible, coded, and countable, and every billing system in the world has a screen for them. It isn't slow payers either, since those show up as aging balances you can watch and chase. It's the claims that were never filed at all. A visit happened. The session was documented. The service was billable. And then the claim didn't go out, and because it didn't

Most practice owners read their AR report the same way. Scroll to the collection rate, check it's above 95, close the file. That takes about four seconds and tells you almost nothing. Not because the report is wrong, but because the number at the bottom is an average, and averages are built to smooth over exactly the kind of problem you'd want to catch. Reading an ABA accounts receivable report properly takes about ten minutes and runs in a different order than most people us

You get an AR report every month. Aging buckets down the left, payers down the side, a collection rate at the bottom. It looks thorough. You skim it, the number is decent, you move on. That report is a summary. An ABA AR audit is an investigation. The difference matters because summaries are built to reassure and investigations are built to find things. Most ABA revenue cycle management problems don't announce themselves in a summary. They sit underneath a healthy-looking ave

Your billing report says you're collecting 98%. Good news, right? Maybe. A 98% collection rate can sit on top of claims that were never sent, notes that haven't changed in eight months, and a payer that's been denying you for a reason nobody caught. The number looks fine because it's an average, and averages are good at hiding things. SparkzABA is an ABA revenue cycle management audit built to find what the average is covering up. You send one AR export from your practice man