Scope of Services
Define covered ABA services, applicable CPT or service codes, session lengths, staff qualifications, supervision ratios, and any excluded services to reduce later disputes.
A well-drafted Compensation ABA Agreement minimizes billing disputes, ensures regulatory compliance for healthcare payors, and protects provider cash flow by clearly defining rates, billing codes, and payment timing.
Stakeholders who prepare or sign these agreements include clinical program directors, billing managers, school administrators, and contracted ABA clinicians.
Ensure the appropriate signer has authority to commit funds or accept clinical obligations before executing the agreement.
A licensed clinical director or practice manager signs on behalf of a provider organization, confirming credential requirements, supervision levels, and clinical deliverables. Their signature binds the provider to clinical obligations and documentation standards.
A billing manager, school official, or insurer signatory who can approve payment terms, reimbursement rates, and claims procedures. This signer accepts the payer-side obligations including timely payment and dispute handling.
Define covered ABA services, applicable CPT or service codes, session lengths, staff qualifications, supervision ratios, and any excluded services to reduce later disputes.
Specify per-session or hourly rates, bundled service pricing, modifiers, billing increments, allowable adjustments, and whether rates are gross or net of administrative fees.
State who is responsible for obtaining payer or parental authorization, pre-approval timelines, and procedures for retroactive authorizations or denials.
Set payment deadlines, acceptable remittance methods (ACH/ABA routing, check, electronic payment), late fee rules, and interest on overdue balances.
Detail documentation standards, retention periods, audit rights, and procedures for resolving documentation discrepancies during payer audits.
Include termination notice periods, final accounting, dispute resolution process, and governing law for interpreting the agreement.
| Field | Configuration |
|---|---|
| Authorization Trigger | Require payer pre-approval before claims submission |
| Billing Frequency | Weekly or monthly invoice cycles per contract |
| Remittance Match | Enable automated remittance reconciliation |
| Audit Log | Record edits, approvals, and submission timestamps |
Use secure eSignature and document workflows that support healthcare privacy and integration with billing systems.
Ensure the selected platform supports HIPAA BAAs, audit trails, and export formats required by payers and auditors.
Many payers require submission within 30–90 days of service
Net 30–60 days is common; negotiate earlier terms when possible
Provide W-9 to payers upon request; no IRS filing deadline
Issue 1099-NEC to contractors by January 31 each year
Retention begins on document creation or last effective date
Agree rates, codes, and supervision expectations before signing
All required signatories execute the agreement
Provide ABA services per scope and documentation standards
Submit claims, reconcile remittances, and resolve denials
| Document | Compensation ABA Agreement | Independent Contractor Agreement | Employment Agreement |
|---|---|---|---|
| Signatory nature | provider & payer | contractor and client | employer and employee |
| Tax withholding | payer does not withhold | contractor responsible | employer withholds taxes |
| Benefits eligibility | no benefits implied | no benefits | benefits provided |
| Typical use case | service billing terms | project-based services | ongoing employment |
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes — Business Premium+ | Plan dependent | Plan dependent | Plan dependent | Plan dependent |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes (BAA required) | Varied by plan | Varied by plan | Varied by plan | Varied by plan |
| Envelope Cap | No cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |
A clinic formalizes hourly rates and supervision fees for ABA technicians
A district and provider define per-session fees, IEP alignment, and invoicing cadence