Medical Billing Companies & Consultants in Kokomo, IN

Missing Piece Billing & Consulting Solutions, Inc., which also operates under the name Missing Piece ABA Billing, is a medical billing firm headquartered in Kokomo, Indiana. Its work centers on a single niche: billing for applied behavior analysis (ABA) therapy providers. The company reports more than fifteen years spent focusing on this specialty. Its argument to buyers is that general healthcare billing vendors tend to overlook the codes, documentation rules and state-level policies particular to ABA care.

Who they serve

The firm organizes its offerings around the size and maturity of the practice. Established ABA organizations make up its core client base, and it groups them into two tiers. There is also a separate track for new practices just getting started:

• Mid-range providers: established ABA practices of small to medium size
• Enterprise providers: established organizations delivering a large volume of patient care
• Startups: newer practices, which can draw on educational material about billing, credentialing, authorizations and revenue cycle basics

Services

Missing Piece takes on the full revenue cycle for its clients, from claim submission through payment. Its scope covers claims billing, insurance credentialing and prior authorizations. Client testimonials on its site point to further support with denied claims, payer contracting problems and tracking how authorized hours are used. The company also offers consulting.

It publishes articles for ABA owners on topics such as when outsourcing makes sense, current CPT codes for ABA, Medicaid rule changes for 2026, payer network restructuring, staff burnout in billing workflows and common errors made by new clinics.

How they work

The firm describes its approach as personal and closely attentive. It pairs modern billing technology with hands-on problem solving and aims to be open with clients about their account status. It also stresses empathy for the families of patients. It presents knowledge of the insurance hurdles families face as a way to advocate more effectively and obtain approvals sooner.

One client noted that lessons learned from other accounts are applied before similar issues reach their own practice. Another praised a named staff member for responsive answers to everyday questions.

Track record

The company publishes several performance figures. It says it processed over $1 billion in ABA claims during 2024. It also cites a clean-claim rate of 99 percent and 92 percent gross collections in the initial three months after onboarding.

Clients quoted on its site include the founders of Lighthouse Autism Center, the president of Indiana provider Child's Play Plus, Tiny Notes Music and Movement LLC, and Compassionate Care ABA. Several of these clients describe the firm as a long-term partner.

Others credit it with helping them recover from financial difficulty or from a poor experience with an earlier billing vendor.

For ABA organizations comparing billing partners, the main differentiators are the company's narrow specialization, its tiered service model for practices of different sizes, and its published collection and claim-accuracy metrics. The company has a leadership team, an about page and a careers section on its site, and it runs its operations from its Kokomo office.