Healthcare Partners Consulting & Billing LLC

10/21/2025

Accuracy, efficiency, peace of mind that's what you can expect from HPC Billing. We look after every detail of your revenue cycle, ensuring nothing falls through the cracks. Ready to make a change?

Get in touch with our team today.
DM us or visit our website www.hpcbilling.com

10/17/2025

Let’s talk billing!
Our specialists are here to help with your toughest questions from claim denials to credentialing roadblocks.

Comment your question below, and we’ll feature answers in tomorrow’s FAQ post and Tag a colleague who could use a little billing clarity too!






&A

10/16/2025

Real results from real providers,
When you let experts handle your billing, growth follows naturally.

Comment “INFO” below or visit www.hpcbilling.com
to learn how we can help your practice thrive.

10/10/2025

Why the Publix v. ABA Centers of America Case Matters for Every ABA and Mental Health Practice

If you bill insurance for ABA or mental health services, you need to understand what’s really happening in Publix Supermarkets v. ABA Centers of America—and why it should have your full attention.

Most people online are focused on the dollar signs. But what’s unfolding isn’t simply about high rates. It’s about representation, compliance, and intent—the foundations of ethical and lawful billing.

From the filings so far, Publix alleges that ABA Centers billed as though families were responsible for copays and coinsurance—but didn’t actually collect them. That matters, because payer reimbursement formulas assume those family portions are being paid. If those portions are routinely waived or ignored, the plan could be overpaying.

If a provider’s billed charges accurately reflect their standard rates and all family cost-shares are properly collected, the rates themselves are rarely the problem. The real issue is accuracy in how those rates and collections are represented—a compliance area many practices overlook until it’s too late.

There’s also confusion about network status, which changes everything in terms of reimbursement and allowable charges. Out-of-network providers rely on their published rates to determine payments, and any inconsistency or misrepresentation there opens the door for disputes like this one. Publix has also cited duplicate claims, incorrect codes, and unsubstantiated services—all compliance red flags that could impact any practice, large or small.

This case isn’t just about ABA. The same billing behaviors—waiving copays, skipping coinsurance follow-ups, mislabeling network status, or setting arbitrary fee schedules—are issues we’ve seen across many mental health practices that assume they’re compliant.

At Healthcare Partners Consulting & Billing, we help ABA providers, therapists, and mental health clinicians build systems that prevent exactly these types of problems. Our team ensures your billing, coding, and documentation accurately reflect your services, network status, and collections practices—so you stay compliant, credible, and protected.

Instead of pointing fingers, take this as your cue to examine your own systems. Are your policies consistent? Are copays and coinsurance documented? Is your fee schedule defensible? These are the questions that separate sustainable practices from risky ones.

For practice owners, this case is a wake-up call about truth in representation, not just pricing. For clinicians, it’s a reminder that billed rates don’t equal revenue—and that sound billing processes are part of ethical care.

The outcome of this case remains to be seen, but the lesson is clear: strong compliance and accurate billing protect your reputation and your revenue.

If you’re unsure where your systems stand or want to strengthen your compliance and revenue cycle, HPC is here to help. We specialize in guiding ABA and mental health practices through audits, compliance reviews, and system optimization to keep you ahead of the curve.

📩 Visit hpcbilling.com
or email info@hpcbilling.com
to schedule a consultation.
Because in healthcare billing, what you don’t know can cost you.

10/09/2025

Imagine spending more time enriching lives rather than juggling bills. Delegate your billing to specialists and transform your practice by focusing on what inspires you every day patient care.

DM us “HPC” to learn how we can take billing off your plate.

10/06/2025

Welcome to HPC Billing - where compassion meets precision. 💙
We help mental health providers and clinicians focus on what truly matters: your patients.
With over 37 years of expertise, our team handles billing, credentialing, and admin support so you can do more healing and less paperwork.

Follow us for weekly insights and billing tips that simplify your practice life.

04/16/2025

🚨 Optum’s Supervisory Billing Rules Are Getting More Restrictive — Is Your Practice Ready?
If you're a therapist, clinical supervisor, or group practice owner billing under Optum, you need to be paying attention. The rules around supervisory billing are tightening, and many providers aren’t prepared for what that means.
From new documentation standards to stricter modifier usage and credentialing oversight, what used to be routine billing is now a compliance risk if done incorrectly.
💡 In my latest LinkedIn article, I break down:
The latest changes in Optum’s supervisory billing requirements
Common mistakes that lead to denials, audits, or recoupments
What your practice can do to stay compliant and protect your revenue
How Healthcare Partners Consulting & Billing (HPC) can help you streamline and safeguard your billing process
🔗 Read the article now and get ahead of the changes before they impact your bottom line.
Your practice deserves billing systems that support growth, not setbacks.

In the world of mental health, most therapists enter the field to change lives—not to become experts in insurance billing. But if you’re supervising associate clinicians or billing under your license, there’s one term you must understand: supervisory billing.