Fixing Billing, CR & System Issues in ABA Agencies
If you run an ABA agency, you already know: nothing fully works together. CR handles some things, payroll handles others, credentialing is tracked somewhere, and billing depends on everything being “kind of right.” I come in as your senior tech leader, without the full-time hire, and make it all actually work.
What I usually walk into
- Billing doesn’t match reality
- Credentialing lives in spreadsheets & custom fields
- CR “works,” but creates workarounds
- Payroll, HR & clinical systems don’t connect
- No clear source of truth
Senior technical leadership, without a full-time hire
A fractional tech leader is the part-time executive who runs your technology and is responsible for the outcomes. A great one learns your goals, audits what’s actually working, and builds a plan that turns your tech into a reliable asset instead of a constant fire drill.
Fix billing workflows
So reports are actually accurate and your revenue cycle stops leaking quietly in the background.
Make data usable
Credentialing, payroll, and provider data connected to a clear source of truth, not scattered spreadsheets.
Stabilize the stack
Clean up how CR and your other systems talk to each other, without disrupting operations.
Most agencies are stuck patching systems together
Before working with me
- Billing numbers never quite match clinical reality
- “Does anyone know a system that does this?” on repeat
- Credentialing tracked in spreadsheets and custom fields
- Reports only as accurate as the last thing that broke
- Too many manual workarounds eating staff time
After working with me
- Accurate billing that reflects what actually happened
- One source of truth across CR, payroll and HR
- Credentialing that’s usable, not a guessing game
- Clean reports leadership can actually trust
- Staff stop firefighting and get back to care
Chaim doesn’t just think like a developer; he thinks like an operator. In ABA, when systems break, billing slows, staff get frustrated, and care is affected. Fixing that is exactly what he does.
Three ways to bring in senior tech leadership
Half-Day Consult
- 2 weeks of prep via email
- 4-hour working session with your team
- Technology punch list + blindspots
- Next 1–6 month plan for your stack
Fractional Tech Leader
- Comprehensive strategy & prioritized roadmap
- Day-to-day leadership for your tech team
- Billing, CR, credentialing & payroll alignment
- Weekly KPIs & reporting to leadership
Ongoing Advisor
- Bi-weekly sprint planning calls
- Unlimited email correspondence
- Access to tech SOPs & playbooks
Your tech shouldn’t be the reason care suffers
When systems break, billing slows, staff get frustrated, and care is affected. I’ve spent years building and leading systems that have to work, handling millions of requests a day at 99.8% uptime. I love solving technology problems and guiding teams to win with their strengths.
If you have big goals for your agency and feel bogged down by tech that isn’t quite working, let’s talk.
Schedule a 15-min Call →Chat
A 15-minute call to see if a fractional tech leader is the right fit.
Strategy
A deeper dive into your systems, goals, and recommended next steps, with a proposal.
Transformation
In the first 30 days you’ll have a comprehensive tech plan and the leadership to execute it.
What a Fractional Tech Leader actually does
Build your tech strategy
A clear, prioritized plan tied to revenue, care quality and operational outcomes.
Fix billing & CR workflows
So your reports reflect reality and revenue stops slipping through the cracks.
Map credentialing & providers
Bring provider data, credentialing and payroll into one clean, usable source of truth.
Lead your tech team
Set priorities, remove blockers, and keep each person in their genius zone.
Integrate your systems
Connect CR, payroll, HR and clinical tools, without ripping anything out.
Manage KPIs
Stand up dashboards and reports leadership can actually trust and act on.
How to know if you need a Fractional Tech Leader
You’re running tech instead of the agency
You’re the one chasing down billing issues, credentialing questions, and “why is the report wrong this month?”
You don’t need a full-time CTO, yet
But you do need someone senior to own the strategy, the team, and the outcomes.
Your systems are scrappy & overlapping
CR, payroll, HR, and clinical tools don’t talk to each other, and everyone is working around it.
You can’t fully trust your reports
Leadership decisions get delayed because the data feels “mostly right,” but never quite right.
Get the technology expertise your ABA agency needs to grow
Delegate your technology outcomes to a senior operator. Take your time back, tighten your stack, and get a greater return on every dollar you spend on tech.
Schedule a Call →