About Operant Billing Solutions

20+ YEARS EXPERIENCE IN THERAPY BILLING

Coming From Running A Successful Enterprise Practice, We Understand Your Billing & Insurance Challenges To Deliver True Financial Success

We’re a local team of medical billing experts led by Ralph Pampino & Patrick Holmes who manage & oversee your Revenue Cycle so you can concentrate on your patients and the care you are providing. Our diverse team has years of experience in the fields of Behavior Analysis, Medical Therapy Billing, Practice Management and Business analysis. It’s how we leveraged our experienced into ABA billing which branched into a wide variety of therapy related billing services.

  • Dedicated billing team handling daily operations
  • ABA-informed leadership and oversight
  • Proven payer and authorization expertise
  • Accuracy-driven billing workflows
  • Continuous claim follow-up and resolution
  • Compliance-focused billing practices
  • Scalable support for growing practices

Our Company Leadership

RALPH PAMPINO

Board Certified Behavior Analyst (BCBA)

A Board Certified Behavior Analyst (BCBA) with over 20 years of experience in ABA therapy and special education, bringing a clinician’s perspective to operational decision-making.

Deep Clinical and Operational Expertise

Hands-on background in ABA therapy, educational consulting, and the design of effective treatment and support programs. Deep understanding of treatment delivery, documentation, and authorization requirements helps ensure billing processes align with payer expectations.

Practice and Program Development

Experience developing programs, training teams, and improving workflows supports billing oversight designed to reduce denials and protect revenue.

PATRICK HOLMES

Compliance Driven Operational Oversight

Brings over 20 years of experience across business, legal, and financial management with a focus on regulated healthcare environments.

Expertise Across Federal and State Frameworks

Advised both public and private organizations on complex legal and compliance matters within federal and state regulatory structures.

Financial and Structural Insight

Deep understanding of the financial and operational decisions that impact long-term stability, risk management, and compliance.

Work Directly With Experts Who Really Know Your Practice

No Call Centers. No Middlemen. We’re Your Family.

Streamlining Therapy Billing To Grow Your Practice

Dedicated Team Support

Your practice is supported by a full billing team led by your personal billing manager working daily to manage claims, follow up, and resolve issues.

Proven, Measurable Results

Processes built to improve cash flow, shorten payment timelines, and recover revenue that might otherwise be lost.

Personalized Solutions

Billing processes are tailored to your payers, providers, and growth goals, not forced into a generic system.

Improve Cash Flow

Our services allow for a continuous, steady flow of claims going out [within one week] and reimbursements coming in [within 30-days].

Top Features You Can Expect

  • Reduced Overhead Expenses

  • Significantly Reduced Paperwork

  • Expertise In Billing Policies & Laws

  • Credentialing Mismatch Repair

  • Time-Sensitive Authorizations

  • Under-billing Auditing & Recovery

  • Payment Denial Prevention

  • Continuous Training & Audits

  • Claim Validation & Session-Level Compliance

  • Prior Authorization Compliance

  • Direct Access To A Dedicated Billing Manager

  • Session Documentation Review (SOAP notes)

  • Fast, Clean Claims Submission

  • On-Time Payment Posting & Reconciliation

  • HIPPA & Regulatory Compliant

  • Reduced A/R Time For Predictable Cash Flow

  • Work In Your Existing EMR Software

  • Complete Coding + Modifiers Expertise

  • Scalable For Any Size Business

  • Maximum Revenue Recovery

0M+
Recovered Revenue Claims
0%
Collection Rate With 90 Days
0%
Clean Claim Rate