On this page
- It depends on how well it handles authorizations, concurrent 97153/97155 rules, provider modifiers and session-note completeness for your payers.
- No prices are stated here unless they come from the vendor's own published page, linked in Sources.
- Not necessarily. Many denials come from the session note or claim details, which a pre-claim check can catch while you keep your current system.
What usually drives ABA software cost
Quotes for ABA practice management and billing software are commonly shaped by the number of users or clients, which modules are included (scheduling, data collection, billing, payroll), implementation and data migration, clearinghouse fees and contract length. Ask which of these apply and get the total for your size in writing.
This page does not list Passage Health's prices or feature details because we have not verified them from a published source. Ask the vendor for current pricing and terms in writing.
Watch out. Prices change. Treat any number you read online as a starting point and get a written quote.
What to check in any ABA billing system
- Authorization tracking. Units per code and per period, with a warning before a session is scheduled past the authorization.
- Concurrent billing rules. How the system handles 97155 overlapping 97153, since payers differ on whether both can be billed for the same minutes.
- Provider-level modifiers. Whether HN, HO and HM (or a payer's own scheme) are applied from the rendering provider's credential instead of typed by hand.
- Session note fields. Start and stop times, place of service, participants, and the client's response, since reviewers compare the note to the claim line.
- Unit math. Units should come from documented minutes. Florida Medicaid's behavior analysis coverage policy describes 15-minute units with an 8-minute threshold.
- Denial handling. Whether the 835 remittance is posted automatically and CARC/RARC codes are shown per line, so you can see why a line was adjusted.
- Data export. Whether you can export clients, authorizations, notes and claims in a usable format if you ever leave.
- Contract terms. Term length, renewal notice, price changes and what happens to your data at termination.
- HIPAA. A signed business associate agreement before any patient data is loaded.
Questions to ask Passage Health (or any vendor)
- Can you show a 97153 and 97155 session on the same day, and exactly what goes on the claim?
- Where does the provider-level modifier come from, and can a biller override it?
- What happens when a session would exceed the authorization: a warning, a block, or nothing?
- Which fields must be complete in the session note before a claim can be created?
- How are 835 remittances posted, and can I filter denials by CARC code?
- What is the contract term, renewal notice period and any price-increase clause, in writing?
- How do I export all my data, in what format, and is there a fee?
Run a fair test
Bring three real, de-identified examples to any vendor call: a clean claim, a claim denied for authorization (for example CO-197), and a session where 97155 overlapped 97153. Ask the vendor to show what their system would have done with each. The answers show more than a feature list.
Keep your PM software; add a pre-claim note check
Switching practice management software is a large project: data migration, staff retraining and a period of slower billing. If the main problem is denials, a smaller step is to keep the system you have and add a check between the session note and the claim. The check compares each note to the rules the claim depends on (times, units against the authorization, signatures, modifier, place of service) and flags gaps before the claim goes out.
Whatever software you use, the pattern is the same: the claim is built from the session note, so most denials can be caught before the claim is submitted.
FAQ
Is Passage Health right for a Florida ABA practice?
It depends on how well it handles authorizations, concurrent 97153/97155 rules, provider modifiers and session-note completeness for your payers. Ask for a walkthrough using one of your own denied claims.
Does this page list Passage Health prices?
No prices are stated here unless they come from the vendor's own published page, linked in Sources. Pricing changes, so get a written quote.
Do I have to switch software to reduce denials?
Not necessarily. Many denials come from the session note or claim details, which a pre-claim check can catch while you keep your current system.
What should I export before changing systems?
Clients, payers, authorizations with remaining units, session notes, claims history and remittances, in a format you can open without the old system.
Tip. Ask for the total for your size: users, modules, implementation, clearinghouse and contract length.
Stop denials where they start.
Most of what payers reject was visible in the note. Let us show you on your own claims.
Sources
- AHCA, Florida Medicaid Behavior Analysis Services Coverage Policy (Dec 2024), incorporated in Rule 59G-4.125, F.A.C.
- X12, Claim Adjustment Reason Codes
- NUCC, 1500 Claim Form Reference Instruction Manual (v13, July 2025)
Last reviewed October 2026. This page summarizes public rules and vendor pages for education; it is not legal or billing advice. Payer contracts and plan manuals can add requirements, so confirm with the payer.