Applied Behavior Analysis (ABA) practices live and die by the accuracy of their billing. Clean claims and steady cash flow keep therapy hours funded, staff paid, and families supported. That’s why choosing the right ABA billing company isn’t just a back-office decision—it shapes your practice’s stability and growth.
But the market is crowded. Some firms promise full-service revenue cycle management. Others focus on software that folds billing into a larger practice-management platform. Sorting through it all can feel like a second job.
This guide walks you through the top ABA billing companies in the U.S., compares their key features, and gives you a practical checklist to help you find the best fit.
Here’s a side-by-side look at well-known providers, their strengths, and potential drawbacks.
This list isn’t exhaustive, but it highlights different approaches—pure billing specialists, software-first platforms, and hybrid solutions.
Here are six of the most recognized ABA billing providers and what sets them apart.
Cube Therapy Billing specializes exclusively in ABA Billing Services across the nation. They manage credentialing, full-service billing, appeals, and authorizations. Practices like their deep ABA expertise, responsive support team, and transparent fees. The only catch is their boutique size, which means they limit client volume in each region to maintain service quality.
RCM ABA focuses on large ABA practices. Their custom revenue cycle systems and business intelligence dashboards are built for scale, making them ideal for enterprise-level clinics. Smaller or solo practices may find their infrastructure more than they need.
WebABA Billing integrates directly with the WebABA software platform, combining revenue cycle management with scheduling and other operational tools. It’s a smooth choice if you already use WebABA, but you’re essentially locked into that platform.
CentralReach RCM serves mid-size to large ABA organizations. It combines billing, analytics, and scheduling in a single system. The analytics are excellent, but the setup can be costly and complex—better suited to groups that need detailed data insights.
Accupoint offers software with optional billing services. Their flexibility works well for clinics that want a hybrid solution, though their billing team isn’t ABA-exclusive.
Theralytics leans toward software-driven billing with tight clinical integration and a clean, user-friendly interface. It’s a good fit for practices that value simplicity, but their smaller team and limited integrations might be a drawback as you grow.
These examples cover different models: dedicated billing firms, software-first platforms, and hybrids. Your choice depends on size, budget, and how much you want to outsource.
Before you sign a contract, measure each candidate against these ten essentials.
Keep this checklist handy during demos or contract reviews. It forces each company to prove they can meet your specific needs.
It’s tempting to chase the lowest rate. But a slightly higher percentage can be worth it if the team delivers faster payments and fewer denials. Clean claims, diligent follow-up, and aggressive appeals often translate into more total revenue—and less time spent chasing it.
There’s no universal winner. A solo BCBA may thrive with a boutique firm like Cube Therapy Billing, where personalized support matters more than big-platform analytics. A multi-state provider might favor an integrated system like CentralReach RCM to centralize scheduling, notes, and billing.
The goal isn’t just to find a vendor; it’s to secure a partner who protects revenue, stays compliant, and keeps your staff focused on clients instead of claims.
Most ABA billing companies charge either a flat monthly fee or a percentage of collections, typically 4–8% of reimbursed claims. The right model depends on your claim volume and need for extras like credentialing or prior-authorization management.
Ask for documented policies and a signed Business Associate Agreement (BAA). They should also conduct regular HIPAA training for staff and be ready to show evidence of security audits or risk assessments.
It depends on your scale. In-house billing gives you direct oversight but requires hiring and training specialized staff. Outsourcing can free up time and reduce overhead, especially for growing practices that don’t have dedicated billing teams.
