ABA business consulting
Run your agency like someone who's done it.
Practical help for ABA agency owners and BCBAs starting out: rates and pay, billing, staffing, and the systems that keep it all running. From an owner who deals with all of it every week.
Medicaid and commercial payers. In-home services. Real numbers, not theory.
Why work with me
I'm not coaching from the sidelines. I run an agency.
I'm Dr. Angela Hess, PhD, BCBA-D, LBA. I own an in-home ABA agency in Maryland that bills Medicaid and commercial insurance. I've built its pay scale, revenue cycle, payroll, hiring and supervision systems myself, and I fix them when they break.
I set those systems up the way an organizational behavior management (OBM) practitioner would: clear targets, simple data, and feedback that changes what people do. You get advice that's already been tested on a real caseload and a real payroll.
Ongoing support
Time with Angela.
For owners with questions as they come up, or who want a steady sounding board.
Flat-fee packages
Projects with a clear finish line.
You get a fixed quote before any work starts. Where there's a range, the price depends on your agency's size.
Startup Roadmap
Entity and NPI setup, the order for payer enrollment and credentialing, your first hires, and the policies you need before your first client.
Rates & Pay Scale
Your true cost per billable hour, margin by payer, a tiered pay scale with clear criteria for moving up, and a plan for rolling it out to staff.
Billing & Revenue Cycle Review
Authorizations, claims, denials and appeals, with written procedures your biller can follow.
Supervision & Documentation Systems
Session note completion, quality checks and supervision tracking, built as measurable OBM systems.
Staff Structure & Growth
Roles, a career ladder, onboarding, and when to add a clinical director or office staff.
Not sure which fits?
Book a 30-minute call and we'll figure out what you need, if anything.
Book a free call →How it works
From first call to finished work.
Book a free call
Pick a 15- or 30-minute time that suits you. A few quick questions help me prepare.
Get a recommendation
I'll suggest the option that fits, with a fixed quote. No pressure to buy.
Get to work
Sign a short engagement letter, pay, and we start with a clear timeline and deliverables.
Not sure what you need? Let's talk it through.
The first call is free. Bring your biggest question.
Questions owners ask
Who is consulting for?
ABA agency owners, clinical directors, and BCBAs thinking about starting an agency. Whether you have two RBTs or fifty, the questions about rates, pay, billing and staffing tend to be the same.
Do you work with agencies outside Maryland?
Yes. Most of the work, like pay scales, margins, billing workflows and supervision systems, applies anywhere. For startup questions I'll walk you through the overall sequence, and you'll confirm your state's Medicaid and licensing rules where you practice.
Is my agency's information kept private?
Yes. Your rates, wages and other business information stay confidential, and I never share one client's information with another.
Do consulting sessions earn CEUs or PDUs?
No. Consulting is business guidance, not a continuing education event, so it doesn't earn CEUs for BCBAs or PDUs for RBTs. For RBT PDUs, see Whole School.
Is this legal, tax or accounting advice?
No. It's practical business guidance from an agency owner. For legal, tax and accounting decisions, work with an attorney or CPA. I'm happy to help you figure out what to ask them.
How do I pay?
After your free call you'll get a short engagement letter and an invoice. Hourly time and blocks are prepaid.