Free Resource · ABA Compliance Solutions
You've Been Billing.
But Have You Been Charging?
Most ABA agency leaders don't know there's a difference — until a payer audit asks them to prove it. This free self-assessment will show you exactly where your agency stands.
- 14 yes/partially/no checklist items
- Covers chargemaster documentation, benchmarking, and regulatory obligations
- Takes about ten minutes. Results are immediate.
- No billing background required — just honest answers
Get Your Free UCR Readiness Self-Assessment
Enter your name and email to download the checklist instantly.
What Most Agencies Are Missing
You’re doing a lot of things right. This probably isn’t one of them.
You’ve built a team. You’ve credentialed with payers. You’re delivering quality care and keeping the lights on. Running an ABA agency is hard, and you’re doing it.
But when it comes to billing rates, most ABA agencies are operating on autopilot — billing whatever their practice management system has always had, trusting that their billing company handled it, or simply not thinking about it at all.
That’s not a criticism. Nobody sat you down and explained usual and customary rates. It’s not covered in BCBA coursework. It’s not on the credentialing application. And most billing companies don’t raise it unless you ask.
But here’s the problem: not knowing doesn’t protect you. And the gap between what you’re billing and what you’re supposed to be billing may be quietly creating compliance exposure — and costing you revenue — right now.
Do Any of These Sound Familiar?
The silence isn't reassurance.
It's a warning you haven't heard yet.
“We bill whatever our payers pay us. Isn’t that what everyone does?”
“Our billing company set our rates when we opened. We haven’t touched them since.”
“I know we have rates in the system, but I couldn’t tell you how they were determined.”
“If there were a problem with our billing, someone would have told us by now.”
What’s Actually at Stake
Here’s what’s actually at stake.
1
Medicaid Regulatory Exposure
Federal regulations require Medicaid providers to bill their usual and customary charge. Without documentation, you can’t demonstrate compliance when a payer or regulator asks.
2
Commercial Payer Contractual Risk
Many commercial payer contracts require you to charge all payers consistently. Without a documented rate, you may be in breach of agreements you didn’t even know existed.
3
Chronic Underbilling
If your billed rate is at or below what a payer would allow, you can never recoup that difference. Every closed claim is a permanent loss — and it adds up fast.
4
Rate Compression Over Time
UCR benchmarks move every year. A rate that was defensible in 2019 or 2020 is likely below market today — and falling further behind every year you don’t update it.
5
Audit Vulnerability
When an auditor asks for your standard fee schedule and the methodology behind it, “that’s just what we’ve always billed” is not an answer that protects you.
The UCR Readiness Self-Assessment
Start here. Find out where you actually stand.
The UCR Readiness Self-Assessment is a 14-item yes/partially/no checklist designed to help you honestly evaluate your agency’s billing rate practices — in about ten minutes.
It covers your chargemaster documentation, your benchmarking practices, your regulatory obligations, and your broader compliance readiness. No billing background required. Just honest answers.
When you’re done, you’ll know exactly what your agency has in place, what’s missing, and what deserves your attention first.
What's Inside the Checklist
14 items across three compliance areas
- Does your agency have a documented standard fee schedule that applies to all payers?
- Is your chargemaster rate set above what any payer — Medicaid or commercial — actually pays you?
- Were your billing rates set based on documented benchmarking data?
- Have you reviewed and updated your chargemaster rates within the last 12 months?
- Could you produce documentation to justify your standard rates if an auditor asked today?
+ 9 more items across regulatory compliance, contractual obligations, and broader compliance readiness in the download
Get Your Free UCR Readiness Self-AssessmentThe Collective Helps You Fix It
The checklist tells you where you stand. The Collective helps you fix it.
Knowing you have gaps is only useful if you have somewhere to turn. The ABA Compliance Collective is a membership community built specifically for ABA agency leaders and administrators who want to get compliance right — without feeling like they’re figuring it out alone.
Build your UCR with AI
Members get access to a full set of LLM prompt guides that walk any AI through a series of questions about your clinic — and produce a complete, benchmarked UCR chargemaster report tailored to your agency.
Compliance resources that actually fit
Practical tools, policy templates, and guidance written specifically for small- and mid-sized ABA agencies — not generic healthcare compliance content that doesn’t translate to your world.
Regulatory updates you can act on
Billing rules change. Medicaid policies shift. Payer requirements evolve. Inside the Collective, you’ll know what’s changing and what it means for your agency — before it catches you off guard.
A community that understands your world
Led by behavior analysts who are also compliance experts, the Collective is where you bring your real questions and get real answers — from people who know exactly what it’s like to run an ABA agency.
Who's Behind the Collective?
Two people who have spent decades in the field — as behavior analysts, compliance professionals, and agency leaders.
Michael Fabrizio
Michael is one of the only people in the ABA field who is both a Board Certified Behavior Analyst and a credentialed compliance professional. With over 30 years of experience in applied behavior analysis and deep expertise in healthcare compliance — including privacy, billing, auditing, and investigations — he built ABA Compliance Solutions to give small- and mid-sized ABA agencies the compliance support they’ve always needed but rarely had access to.
Rose Feddock
Rose brings over 25 years of experience in behavior analysis and more than a decade in healthcare compliance. She has served in clinical, administrative, and compliance roles across multiple organizations — including as Compliance Coordinator and Director of Standards for the Behavioral Health Center of Excellence. Rose specializes in policy development, clinical documentation, auditing systems, and ethics — and brings a clarity and practicality to compliance that ABA leaders find immediately useful.
30+
years of experience in applied behavior analysis and healthcare compliance
25+
years of experience in behavior analysis and more than a decade in healthcare compliance
5
healthcare compliance credentials held by the two founders
Know where you stand. Start today.
Ready to stop wondering if your agency is exposed?
Join the ABA Compliance Collective and get the tools, guidance, and community you need to build a compliance program you can actually stand behind.
Learn More About the Collective →