What
sets the backbone of this company apart from the other ABA billers is that Michelle's experience billing ABA therapy superseded the state mandates. She was in the game billing ABA for select
self-funded groups and was the office manager for three small ABA Service Providers in FL before insurance companies would even consider ABA therapy as anything other than experimental. Once the
mandate passed in the State of FL, she was working with insurances; guiding them with persistence often faxing a copy of the mandate as proof the claim needing to be paid. Insurance reps had no
understanding of what ABA was and would continually deny claims erroneously stating service as not a covered expense, denying as experimental, or License is required for this service; even though
State of FL does not license BCBA’s. As far as she knew there was no other party billing for ABA as when searched on the internet, there was no proof of such company to call to exchange stories
with and so she persevered on her own. Written references from clients outline her most invaluable attribute is her sincere passion for helping to develop your business, hands on approach, and wealth
of knowledge on every facet of starting, daily operations, growing, and how to thrive owning/running ABA businesses. Additionally, her superior service, attention to detail, and ABA related
office management experience offers a ABA Provider the ability to feel confident about back office operations being handled and spend time with the those kiddos that need them the
most. She personally managed several small BA businesses and learned the ins and outs of every aspect of
running the business from bookkeeping, billing, HR, to scheduling to maximize authorized units, etc. Once the mandate passed, MPAS was one of the first to leap into the fire with billing insurance
companies for ABA services. We muddled through and found a way when there wasn't a way yet. In the beginning we had to inform the Customer service reps of the mandate and their requirement to
cover the services; sometimes faxing them a copy of the state mandate, couple of times having to contact the Dept of Insurance to assist and require the insurance company to pay what they owed – and
was successful. Realistically, with the new “T” codes for ABA Services, although not as concerning as when the mandate passed, we are now on the brink of the some of the same levels of chaos within
the relationship between insurance and providers getting paid for services. They will eventually pay the claims, however, it will require an experienced ABA biller to be able to predict and counter
the problems before the claim is submitted, to prevent denials for those that can be preventable. Understandably there will be insurance resubmissions that are nothing less than commonplace for
ABA claims.