Bookkeeping for ABA therapy providers
ABA providers deliver therapy all month and get paid on the payer's clock, not theirs. Authorizations cap what can be billed, remittances arrive with adjustments, and RBT payroll runs every two weeks regardless. Mispar reconciles payer payments, payroll and write-offs so delivered care and collected cash stay connected. Plans start at $229/mo.
Best for: ABA therapy practices, BCBA-led clinics, in-home and school-based providers, and growing practices with RBT and BCBA teams.
Reconciled
Payers
Tracked
RBT payroll
Visible
Write-offs
Monthly
Cash flow
Where ABA therapy provider books usually go wrong
- Payer payments not matched to sessions.
- Technicians and BCBAs paid on different terms with unclear records.
- Authorizations and billing lag hiding unbilled work.
How Mispar keeps your ABA practice books clean
Industry-specific accounts and categorization, with the reporting scope agreed before work starts.
Payer remittances and adjustments
Match commercial and Medicaid remittances to billed services where records allow, and keep contractual write-offs and denials separate from real revenue.
Authorization and billing records
Reconcile billed units against authorizations and delivered hours from your practice system so unbilled or denied work is visible, not silently absorbed.
RBT and BCBA payroll
Reconcile payroll-provider records and keep clinician compensation tied to the reporting structure agreed for your practice.
Billing service and software costs
Outsourced billing fees, practice software and data tools stay on distinct lines so the cost of collecting is clear.
Payroll taxes and benefits timing
Track employer taxes and benefit costs on the schedule they actually hit the bank, separate from gross wages.
Cash reserved for payroll cycles
Separate cash reserved for upcoming payroll and supplier bills from the balance that looks available to spend.
Reports an ABA therapy provider can use
- Receivables by payer.
- Unbilled sessions.
- Staff cost against billed hours.
A simple, predictable process
From kickoff to your first clean close, here is exactly what happens.
Review practice and payer reports
We start from the records you already have: practice management exports, remittance advice, payroll reports and bank feeds.
Map revenue and cost lines
Payer payments, adjustments and clinician costs are mapped to an agreed chart of accounts with opening balances reviewed.
Reconcile payments and payroll
Remittances, deposits and payroll records are reconciled to the bank each month.
Close monthly books
Monthly statements with an exceptions list and the payer-level reporting agreed for your practice.
Illustrative example
A Medicaid remittance pays most of a month's claims and denies the rest. We record the payment, keep the denials visible for follow-up, and reconcile the deposit to the bank so the difference between billed and collected stays explainable. This is an illustration of the method, not a customer case or a guarantee.
ABA Therapy Providers bookkeeping — your questions
How do you handle the gap between delivered hours and paid claims?
We reconcile remittances against billed services and keep denials and adjustments visible instead of booking billed amounts as income. Your practice system shows the hours; the books show what was actually collected.
Can you track write-offs and denials separately?
Yes. Contractual adjustments, denials and real revenue stay on separate lines so you can see how much of billed work never became cash.
How do RBT and BCBA payroll costs get organized?
Payroll-provider records are reconciled each period and clinician costs are organized under the reporting structure agreed for your practice, with employer taxes visible separately.
Our billing is outsourced. Can you still keep the books?
Yes. We work from the billing company's reports and your bank, reconcile what was collected, and keep the billing fee on its own line so the cost of collections is clear.
Can you track unbilled sessions?
Yes. We list sessions delivered but not yet billed.
Does the $229 starting plan cover a multi-clinician practice?
The final plan and scope depend on clinician count, payer volume and accounts. We agree that scope before starting; catch-up work is discussed separately.
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