Understanding EIDBI Billing in Minneapolis and Minnesota

Bonnie Flom • December 31, 2024

The Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit is a critical service designed to support children and young adults with autism spectrum disorders (ASD) and related conditions. The Minnesota Department of Human Services (DHS) offers this program to improve developmental outcomes and ensure access to necessary therapies. For healthcare providers, accurate EIDBI billing is essential to maintain compliance and secure timely reimbursements.


Billing Buddies, a trusted partner for healthcare billing solutions, specializes in navigating the complexities of EIDBI billing in Minneapolis and across Minnesota. This blog delves into the key aspects of EIDBI billing, offering actionable insights for providers.


Key Facts About EIDBI Billing


  • Eligibility: The EIDBI benefit serves individuals under 21 with a formal diagnosis of ASD or related conditions.
  • Covered Services:
  • Comprehensive multi-disciplinary evaluation (CMDE)
  • Intervention services tailored to individual needs
  • Family training and counseling
  • Billing Requirements:
  • Use of specific CPT codes for reporting services
  • Submission of a person-centered treatment plan
  • Adherence to Minnesota DHS guidelines for documentation
  • Reimbursement Rates: Rates vary based on service type, location, and other factors set by the state.
  • Common Challenges:
  • Documentation errors
  • Incorrect coding
  • Delayed claim submissions


EIDBI Billing Codes at a Glance


Here’s an overview of commonly used CPT codes for EIDBI billing:

CPT Code Service Description Notes
97151 Behavior assessment by a provider Includes treatment plan creation
97153 Adaptive behavior treatment Delivered directly to the patient
97155 Adaptive behavior treatment, family Involves caregivers or family
97156 Family adaptive behavior guidance Focused on caregiver training

Accurate coding is critical for maximizing reimbursements and minimizing claim denials. Partnering with an expert billing service like Billing Buddies ensures your claims are handled efficiently.


The Role of Billing Buddies in EIDBI Billing


EIDBI billing can be overwhelming for providers due to strict state regulations and the detailed documentation required. Billing Buddies offers tailored solutions to alleviate these challenges. Here’s how we help:

  • Code Accuracy

Our team stays updated with the latest CPT code changes to avoid errors.

  • Timely Submission

We ensure claims are submitted promptly, reducing the risk of delays.

  • Audit Preparedness

Comprehensive documentation support keeps you ready for any DHS audits.

  • Consultation Services

Personalized guidance to optimize your billing processes.


Why Choose Billing Buddies?


With years of experience in healthcare billing, Billing Buddies has established itself as a leader in EIDBI billing in Minneapolis and Minnesota. Our expertise allows you to focus on delivering exceptional care while we handle the complexities of billing.


Streamline Your EIDBI Billing with Billing Buddies


Navigating EIDBI billing in Minneapolis and Minnesota requires a thorough understanding of state regulations and meticulous attention to detail. Providers can streamline this process by partnering with a trusted billing expert like Billing Buddies. Let us help you maximize reimbursements, reduce administrative burdens, and focus on what you do best—caring for your patients.


Contact Billing Buddies today to learn more about our solutions. Explore our EIDBI billing services and discover how we can support your practice in Minneapolis and Minnesota.

By Bonnie Flom April 21, 2025
Fact: ARHMS providers across Minnesota – especially in Minneapolis – are spending more hours than ever on billing, and it’s affecting client care. Between compliance rules, rejected claims, and slow payments, many teams are overwhelmed. But what if ARHMS billing didn’t have to be a full-time job? Table of Contents: ● The Real Problem with ARHMS Billing Today ● What Makes ARHMS Billing in Minneapolis Especially Challenging ● How Outsourcing Isn’t Just Easier — It’s Smarter ● What Billing Buddies Does Differently ● Quick Comparison: DIY Billing vs. Partnering with Billing Buddies ● Final Word + How to Connect The Real Problem with ARHMS Billing Today Let’s be real: ARHMS billing is no longer just about submitting claims. It’s about understanding state-specific codes, documenting every move correctly, and constantly adjusting to DHS updates. If you're still relying on manual methods or a stretched-thin team, the odds of losing revenue go up fast. What Makes ARHMS Billing in Minneapolis Especially Challenging? Minneapolis is fast-paced, and so is the demand for mental health and habilitation support. But here’s the kicker — more clients mean more billing. More billing means more room for error. If even one code is off or a note is missing, your claim can get stuck for weeks. Providers here aren’t just looking for help — they need speed, accuracy, and someone who actually gets local systems. How Outsourcing Isn’t Just Easier — It’s Smarter? Outsourcing ARHMS billing isn’t just about handing off tasks. It’s about: ● Reclaiming Time: So your team can focus on what they’re best at — client care. ● Reducing Stress: Say goodbye to rejections, late filings, and compliance fears. ● Improving Cash Flow: Claims are submitted right, the first time. What Does Billing Buddies Do Differently? We’re not a generic billing company. We’re local experts who specialize in Minnesota Medicaid systems — especially ARHMS. With Billing Buddies, you get: ● A team trained in Minnesota-specific ARHMS codes and DHS guidelines ● Fast turnaround on claims and re-submissions ● Clean reporting so you always know where your money’s at ● Support that’s personal — we work with your staff, not around them We work with providers throughout Minneapolis and beyond — helping small teams grow by giving them their time and cash flow back. Quick Comparison: DIY Billing vs. Billing Buddies
By Bonnie Flom April 21, 2025
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By Bonnie Flom April 18, 2025
Fact: Nearly 60% of mental health providers say that insurance billing and credentialing slow down their ability to focus on patient care. Between changing payer rules, claim rejections, and the exhausting credentialing process, providers often find themselves spending more time on admin work than therapy sessions. That’s where specialized mental health billing and credentialing services come in—and Billing Buddies is leading the charge. Table of Contents Why Mental Health Billing Is So Complex What Credentialing Means (and Why It’s a Game-Changer) Benefits of Outsourcing to Billing Buddies Mental Health Billing vs. Medical Billing: What’s Different? Our Process: How Billing Buddies Simplifies It All Summary Table: What You Get with Billing Buddies Final Thoughts + How to Get Started Why is Mental Health Billing So Complex? Unlike general medical billing, mental health services involve unique codes, session limits, and pre-authorizations. Even small errors in time-based coding or failing to include proper documentation can lead to claim denials. Key challenges include: ● Frequent insurance changes ● Limited sessions per year ● Confusing modifiers and CPT codes ● Authorization requirements ● Varied payer-specific rules What Credentialing Means (and why it’s a Game-Changer)? Credentialing is the process of verifying a provider’s qualifications with insurance companies so they can join a payer network. It involves paperwork, follow-ups, and long wait times—anywhere from 60 to 180 days. If you’re not credentialed, you can’t bill insurance. And if you’re improperly credentialed, delays and rejections will keep stacking up. Benefits of Outsourcing to Billing Buddies When you hand off your billing and credentialing tasks to Billing Buddies, you save hours weekly—and potentially thousands of dollars monthly. Perks include: ● Fewer claim denials ● Faster reimbursement ● Error-free submissions ● Up-to-date compliance ● Full credentialing support ● More time for patient care Mental Health Billing vs. Medical Billing: What’s Different?