Revenue Cycle · ABA & Behavioral Health
ARC
Consultant
Group

The climb from claim to collection. A revenue cycle firm for ABA & behavioral health groups.

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Revenue cycle · for ABA & behavioral health

The climb
from claim
to collection

We embed with growing therapy groups to fix the seven steps between an authorization and a payment: billing, coding, denials, and the quiet leaks in between.

Reach out to us → See our services
Authorization
Authorization Management
Our auth team supports the concurrent review process — managing templates, tracking units, and following up with payers. Clinical authorization decisions remain with the treating provider.
Claim Quality
Pre-Submission Scrubbing
Duplicate detection, overlapping session checks, modifier review, and payer-specific rules applied before a single claim leaves your queue.
Real-Time Tracking
Unit & Auth Monitoring
Authorization counts tracked across every active patient. Alerts fire before approvals expire, not after a session is already on the floor.
Works inside your stack
CentralReach AccuPoint Rethink Catalyst AlohaABA WebABA Luminare
The Seven-Step ARC

Every leak between an
authorization and a payment.

01
Eligibility
Real-time benefits verification with carve-out logic specific to behavioral health. We flag plan resets, exclusions, and family deductible thresholds before the first session.
02
Authorization
Concurrent review templates by payer, managed by our auth team. Unit counts tracked across every patient, with re-auth reminders and appeal support when payers push back. Two-stage expiration alerts at 7 weeks out and again at 2 weeks out, so renewals never sneak up on you.
03 · Focus
Coding & Charge Capture
Modifier audit, duplicate detection, and drift alerts. Deeper compliance audits available as an add-on for groups that want a full pre-billing review layer.
04
Claim Submission
Primary and secondary payors filed in sequence, with payer-specific scrubbing rules applied at submission. Batch clearinghouse processing with real-time status tracking and exception alerts.
05
Denial Recovery
CARC-code appeals library with rapid SLA. Every denial logged, corrected, resubmitted and root-cause analyzed to prevent recurrence.
06
Posting
ERA/EFT automation with payment reconciliation. Every dollar posted, every underpayment flagged, every contractual adjustment reviewed.
07
Patient AR
Patient statements generated and distributed monthly. We flag balances, post payments, and hand your team a clean picture of every outstanding family account so collections conversations start with good data.

All seven steps managed under one roof. No handoffs, no gaps, no finger-pointing between vendors.

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What Sets ARC Apart

Built for the complexity
of behavioral health billing.

Credentialing & Payer Enrollment
Full CAQH setup, payer contracting, re-credentialing cycles, and benefit verification handled before your first patient appointment. Weekly follow-up on all open applications and re-credentialing items, with expiration monitoring so no provider goes inactive mid-schedule.
Telehealth Billing
ABA-specific telehealth claim handling for POS 02 and POS 10 codes, with state-by-state parity compliance built in. We stay current as rules shift so your team doesn't have to.
Documentation Audits
Pre-billing audit layer catches duplicate claims, overlapping sessions, and documentation gaps before submission. Deeper payer-standard documentation reviews are available as an add-on for groups that want a full compliance layer.
Monthly AR Reporting
AR aging, first-pass rates, and denial trends delivered to your clinical and finance leads every month. No dashboards to log into. Just a clear picture of where your revenue stands.
Dedicated RCM Lead
One person assigned to your group who knows your payers, your providers, and your practice. Not a ticket queue. Not a rotating support team. A specialist you can call by name.
Bulk Benefits Verification
Electronic VOB and eligibility checks run in bulk ahead of plan resets. We sweep your entire active caseload, not just new intakes, on a monthly basis so coverage gaps don't surface mid-treatment.
"We move the
needle quietly.
Our clients keep
the credit."

Most RCM vendors layer on top of your workflow and hand you a dashboard. We embed inside your operations, building playbooks your team owns, not reports you rent.

  • Dedicated RCM lead assigned to your group within 5 days of engagement
  • 90-day roadmap built from your actual claims data, not a generic template
  • Monthly operating review with your clinical and finance leads
  • No long-term contracts. We stay because the numbers stay green
  • Built for the BCBAs who'd rather see a patient than chase a payer
Get in touch

Reach out to us.

We're here to answer your questions and walk you through what ARC can do for your practice.

732-288-8883 info@arcconsultantgroup.com
185 Route 70, Suite 106 · Toms River, NJ 08755
Fax: 732-228-8898