The complete guide to ABA RCM software. Full revenue cycle — insurance capture, authorization, pre-submission scrubbing, EDI/ERA, denial management, and live AR analytics — brought in-house with ~98% clean claims.
Frequently asked questions
What is ABA revenue cycle management (RCM) software?
ABA RCM software manages the full financial lifecycle of a claim for an Applied Behavior Analysis practice: insurance capture at intake, authorization tracking, charge capture and coding, pre-submission claim scrubbing, EDI submission, ERA posting, denial management, patient billing, and the analytics (clean claim rate, days in AR, net collection rate) to run it. Wilma delivers the whole cycle natively, on the same record as clinical care.
How is RCM different from billing software?
Billing software focuses on creating and submitting claims. RCM is the whole financial cycle around them — from intake and authorization at the front, through scrubbing and submission, to denials, patient responsibility, and the financial analytics owners run on. Wilma covers both; see the ABA billing software page for the claim-creation detail.
Should I bring billing in-house or use an RCM service?
Most practices on Wilma bring billing in-house and keep the 4–8% of collections an outsourced RCM service charges. Native EDI, pre-submission scrubbing (AI add-on), automated ERA posting, and denial workflow make in-house RCM tractable even for small teams — with full visibility you don’t get from a service.
How does Wilma get to a ~98% clean claim rate?
By preventing errors across the whole cycle: live authorization tracking and payer-specific pre-submission scrubbing that checks modifiers, authorization match, and documentation completeness before a claim ships. The clean claim rate is an outcome of front-to-back RCM, not a single feature.
Does it integrate with my clearinghouse?
Yes — standard 837 submission and 835 ERA posting through EDI clearinghouses that serve ABA. Integration scope is confirmed during onboarding based on your payer mix and existing relationships.
Can I migrate open AR and denial history?
Your clinical and operational data migrates during onboarding. For billing, most practices run out open AR in their prior system while new claims start clean in Wilma. If you need historical billing data imported, we will review options with you during onboarding.
Does RCM work across multiple locations/entities?
Yes. Per-location billing identity (NPI, TIN, address), state-specific rule packs, and cross-entity rollups for ownership reporting are native.
How much does it cost?
Core ($30/user/month) includes the full revenue cycle: insurance capture, authorization tracking, claim creation, EDI/ERA, denials, and patient billing. The AI add-on (+$20/user/month) layers pre-submission scrubbing and denial prediction. Pricing is flat per user, not a percentage of collections.