Transform Your Business Strategy Today
We All Boast LEADERSHIP at the Org, But Are You Investing In It?
Consultation on Professional Development and Organizational Culture
We All Boast LEADERSHIP at the Org, But Are You Investing In It?
- Commonly Observed Challenges:
- ABA organizations are often led by clinicians who lack formal leadership training.
- Leaders may struggle with self-awareness and the ability to make strategic decisions under pressure.
- Miscommunication and ineffective leadership can lead to staff disengagement, high turnover, and inconsistent service delivery.
- Why This Service Is Important:
- Far too often we do not take the required time to fully understand leadership. Many of us at Ontogenesis thought, earlier in our careers, we were leaders, bur quickly learned leading a growing team required focused training. There is a drastic difference between being the founder of your organization and being an effective leader for your team.
- Leadership training helps leaders develop self-awareness, emotional intelligence, and decision-making skills, which are critical to building a cohesive, high-functioning team.
- By fostering strategic leadership, organizations can align their clinical and administrative goals, improve morale, and achieve long-term success.
Developing Clinical Tier-Based Infrastructure
Consultation on Professional Development and Organizational Culture
We All Boast LEADERSHIP at the Org, But Are You Investing In It?
- Commonly Observed Challenges:
- Many ABA organizations lack a structured service delivery model, leading to inefficiencies in care.
- Without tiered clinical systems, ABA providers may struggle to allocate resources appropriately or provide consistent services across client populations.
- Unclear or inefficient team structures can cause bottlenecks in care and affect clinical outcomes.
- Why This Service Is Important:
- A clinical tier-based infrastructure ensures that resources and personnel are allocated based on client needs, optimizing service delivery.
- Structured teams improve operational efficiency, enhance client impact, and allow organizations to scale their services more effectively.
- A clear hierarchy and role definitions prevent service disruptions and enable targeted support for clients of varying needs.
Consultation on Professional Development and Organizational Culture
Consultation on Professional Development and Organizational Culture
Consultation on Professional Development and Organizational Culture
- Commonly Observed Challenges:
- The ABA industry faces high rates of burnout and staff turnover, as the demands of the job can lead to emotional exhaustion and dissatisfaction.
- Many organizations mistakenly believe that increasing pay is the sole solution, while neglecting to invest in their team's professional growth and fostering a positive work culture.
- As ABA organizations expand, their original values and mission often get lost in the complexity of departmentalization, non-billable activities, and financial strain. Decision-making starts to prioritize revenue over the foundational culture that originally drove the organization’s success.
- Why This Service Is Important:
- As organizations expand, maintaining a clear focus on their core values and mission is crucial to avoiding a shift towards solely financial-driven decisions. Sustaining a strong culture ensures the integrity of the organization’s vision, even during periods of growth or financial strain.
- By fostering a positive culture and focusing on holistic employee satisfaction, organizations not only improve staff retention but also create a ripple effect of higher-quality care for clients, leading to improved outcomes and organizational success.
Development of Administrative Departments
Development of Administrative Departments
Consultation on Professional Development and Organizational Culture
- Commonly Observed Challenges:
- Many ABA businesses are founded by clinicians who are unfamiliar with business management, including essential administrative functions like Finance, HR, and Payroll.
- Lack of streamlined administrative processes can lead to compliance issues, payroll discrepancies, and overall operational inefficiencies.
- Without dedicated departments, clinicians may be forced to take on administrative roles, detracting from their focus on clinical work.
- Why This Service Is Important:
- Setting up administrative departments creates a professional infrastructure that supports the organization's day-to-day operations.
- Properly structured departments free up clinicians to focus on delivering quality care, while ensuring compliance with regulatory standards and improving overall efficiency.
- Streamlined processes in finance, HR, and payroll enhance operational stability, reduce legal risks, and foster a more organized business environment.
Revenue Cycle Consulting
Development of Administrative Departments
Development of Your Billing Department
- Commonly Observed Challenges:
- ABA organizations often equate billing with RCM, missing the strategic layers that turn billing data into financial insight.
- Accounts Receivable (AR) is frequently under-monitored, leading to delayed reimbursements, high write-offs, and poor cash flow visibility.
- Billing systems may be underutilized, with reports that are either ignored or too complex for clinical and executive teams to act on.
- Denials, claim lags, and authorization breakdowns often go unresolved due to lack of structured oversight and real-time data access.
- Why This Service Is Important:
- Effective Revenue Cycle Management (RCM) is not just about submitting claims—it’s about maximizing reimbursement, reducing delays, and ensuring long-term fiscal stability.
- Strategic use of billing data enables forecasting, contract evaluation, and decision-making that supports both clinical and operational priorities.
- Strong AR oversight prevents revenue loss, supports clean audits, and improves communication with payers and accounting staff.
- By transforming raw claim data into usable financial insights, organizations gain control over revenue patterns, denial trends, and service profitability.
- Effective Revenue Cycle Management (RCM) is not just about submitting claims—it’s about maximizing reimbursement, reducing delays, and ensuring long-term fiscal stability.
Development of Your Billing Department
Development of Administrative Departments
Development of Your Billing Department
- Commonly Observed Challenges:
- Many ABA providers struggle with billing due to the complexity of insurance requirements, such as authorization tracking, session documentation rules, and modifier use.
- Billing staff are often under-trained in ABA-specific codes and regulations, leading to denials, underpayments, and delays in reimbursement.
- Lack of standard operating procedures results in inconsistent claim submission, poor follow-up, and unresolved errors.
- These inefficiencies contribute to cash flow issues, missed revenue opportunities, and compliance risks with both commercial and Medicaid payers.
- Many ABA providers struggle with billing due to the complexity of insurance requirements, such as authorization tracking, session documentation rules, and modifier use.
- Why This Service Is Important:
- A well-structured billing department is essential to ensuring that claims are processed efficiently, compliantly, and with minimal error.
- Implementing billing best practices improves turnaround time on payments, reduces the administrative burden on clinicians, and builds positive relationships with insurers.
- A billing system tailored to ABA—addressing CPT codes, modifiers, session documentation, and authorization logic—helps the organization maintain financial stability and scale responsibly.
- Ongoing support and oversight reduce burnout and turnover in billing roles by creating clarity, predictability, and accountability in daily workflows.
- A well-structured billing department is essential to ensuring that claims are processed efficiently, compliantly, and with minimal error.
Consultation on the Use of Telehealth
Consultation on the Use of Telehealth
Consultation on the Use of Telehealth
- Commonly Observed Challenges:
- Many ABA organizations are unfamiliar with the proper use of Telehealth, leading to inconsistencies in service delivery, potential billing errors, and compliance issues.
- Improper utilization of Telehealth services could be considered fraudulent activity, unethical, and put the entire industry at risk if not handled appropriately.
- There is a general lack of awareness on how to implement Telehealth in a way that maintains the same quality of care as in-person services.
- Why This Service Is Important:
- The team at Ontogenesis has successfully utilized Telehealth since 2015, giving our team unique insights into its effective and ethical implementation.
- Proper use of Telehealth in ABA services can provide exceptional client outcomes, expand access to care, and ensure compliance with ethical and legal standards.
- Our consultation ensures that organizations avoid the risks of improper use, such as fraud or unethical practices, by implementing evidence-based protocols and quality control measures.
- By utilizing Telehealth appropriately, ABA organizations can offer flexible, accessible services while maintaining high standards of care and compliance with regulatory requirements.
Challenges Working with Third Parties
Consultation on the Use of Telehealth
Consultation on the Use of Telehealth
- Commonly Observed Challenges:
- ABA organizations often engage third-party vendors—such as credentialing firms, billing services, CPAs, or payroll companies—without a clear system for ongoing oversight.
- Promises made during the onboarding phase are frequently left unfulfilled, resulting in missed timelines, compliance risks, and operational setbacks.
- Without active management, external partners may drift from expectations, leading to confusion, delayed deliverables, and strained relationships.
- Why This Service Is Important:
- Partnering with third-party vendors isn’t just about contracting—it’s about ensuring follow-through on the services promised.
- Ontogenesis helps ABA organizations hold external vendors accountable, ensuring they meet agreed-upon service levels, timelines, and regulatory standards.
- Proactive oversight of billing vendors, credentialing firms, and financial consultants reduces risk, improves outcomes, and ensures your agency isn’t left chasing solutions it was already promised.
- Sustained collaboration with trusted vendors can enhance business efficiency—but only if guided by clear expectations, communication, and measurable accountability.