How to Set Up Your ABA Center's QA Process

ABA Center QA Guide Summary

This guide, written by Zach Rosen (CEO of Brellium) and Raizy Izrailev (CEO of Gryd Consulting), explains how to design and scale a quality assurance (QA) process for ABA centers so that documentation is clinically strong, payor-compliant, and supports sustainable growth.

What You’ll Learn

1. Set up your note template

Build documentation templates that align with both payor rules and clinical best practices from the outset.

1. Coach RBTs and BCBAs on documentation

Create a culture of high-quality notes through clear expectations, ongoing training, and structured feedback.

1. Balance quality and business needs

Design QA so it protects clinical quality while also supporting revenue integrity and operational efficiency.

Why QA Matters in ABA

A strong QA program is about more than passing audits—it directly supports client care and organizational stability:

• Prevent clawbacks: Identify and fix documentation gaps before they trigger denials or recoupments.
• Support your team: Give RBTs and BCBAs concrete standards and constructive feedback on their notes.
• Scale confidently: Maintain consistent quality as you add staff, clients, and locations.
• Demonstrate value: Use strong documentation to build trust with payors, families, and referral sources.

Getting Started

1. Clarify payor requirements

Requirements differ across Medicaid, commercial insurers, and managed care organizations. List out what each payor expects (content, structure, timing, signatures, etc.) and use that to drive your note templates and QA checklists.

1. Design your templates around those rules

Align fields, prompts, and workflows in your notes so that meeting payor and clinical standards is the default, not an afterthought.

1. Establish a consistent review cadence

Review charts on a regular schedule (weekly or monthly). Use these reviews to:

• Spot recurring issues early
• Identify strengths to reinforce
• Decide where to adjust training or tweak templates

Next Step: Read the Full Guide

The full downloadable guide walks through concrete steps to:

• Launch a new QA process or upgrade an existing one
• Improve clinical quality and documentation consistency
• Reduce risk of payer clawbacks while supporting growth

It’s designed to be immediately actionable so you can start implementing improvements in your ABA center right away.