Authorized hours, by code
Payers typically approve a set number of units per code for a fixed period. Sessions delivered after an authorization lapses, or billed under the wrong code, are hard to recover.
Every ABA unit needs an authorization behind it
ABA claims are built from 15-minute units, tied to an approved treatment plan and to the credential of the person delivering care. Taiga drafts codes from session notes for clinician approval, submits claims, and works every denial. ABA is not on its published specialty list, so the first step is an honest fit check.
Book a demoWhere ABA claims go wrong
ABA billing stacks payer authorizations, timed units, and tiered staff. Any one of them can stop a claim.
Who delivered the session
Assessment, technician-delivered treatment, and analyst direction are separate codes. RBTs practice under close supervision, and payers often tie each code to a specific credential.
A code set that changes in 2027
The AMA approved revised adaptive behavior codes that take effect January 1, 2027, adding codes for two-technician harmful-behavior work and for non-face-to-face analyst time. Payer fee schedules and authorizations will need to catch up.
Who owns what in an ABA handoff
Clinical decisions stay with your analysts. The question is where billing work begins.
Treatment plans and session data
Your BCBAs write the plan, request hours, and sign session notes. The practice keeps clinical records and family conversations about care.
Claims and follow-up
Taiga would draft codes from approved session notes, scrub claims against payer rules, check eligibility, and work denials and appeals, small-dollar ones included.
Authorization tracking
Decide who requests reauthorizations and watches remaining units. Many ABA denials start there, so name an owner before anything moves.
Bring these to an ABA fit call
Use de-identified examples. Patient details do not belong in the booking form.
Which payers and programs?
List commercial plans, Medicaid or managed Medicaid, and any state-mandated autism coverage, with how each one handles authorizations.
How is staff credentialed?
Note how many BCBAs, BCaBAs, and RBTs deliver services, and how each payer enrolls or recognizes them.
Where does session data live?
Name the data collection system, the EHR, and the person who signs off on units before claims go out.
Good fit signals
A clinic or home-based ABA practice with steady authorizations, clean session data, and a claim backlog it wants worked down. Taiga works alongside your existing EHR, so the conversation starts with how claims leave your current system.
What this page does not settle
Medicaid ABA rules vary by state, and CMS published a toolkit in August 2026 to guide state policy. This page does not interpret your state's rules or confirm Taiga support for ABA.
Questions about applied behavior analysis billing
Does Taiga bill for ABA therapy?
ABA is not on Taiga's published specialty list. Bring your service mix and Taiga will tell you straight whether it fits.
Can 97153 and 97155 be billed for the same time?
CPT guidance has allowed concurrent reporting when the analyst directs a technician with the patient present, but payer policies differ. Check each payer's rules, especially as the 2027 code changes take effect.
What changes for ABA codes in 2027?
Revised adaptive behavior codes take effect January 1, 2027. They add codes for two-technician harmful-behavior assessment and treatment, analyst treatment with analysis, and non-face-to-face analyst work.
Can Taiga take over our older ABA claims?
Taiga can take over open A/R or run in parallel during onboarding. Whether that applies to your ABA claims is part of the fit conversation.
Bring your ABA service mix
Share your payers, codes, and staffing tiers. Taiga will tell you plainly whether the work fits.
System guides show possible billing handoffs, not proven specialty compatibility.