Every ABA owner knows the feeling. You call a payer to ask what's covered, get one answer, call back, and get a different one. A rule changes and nobody tells you. Cash comes in the door, so things look fine, until the month closes and the picture is murkier than you thought. Billing in this field is not just hard. It moves, constantly, and usually without warning.

My guest today is Christophe Rimann, co-founder and CEO of Camber, one of our gold sponsors this year. Camber is a revenue cycle and billing platform built specifically for ABA. Christophe says they now see around two billion dollars in ABA claims a year across most of the country, which gives them a view of the payer landscape that is hard to get from inside any single clinic.

Here is some of what we get into:

• Why a healthy-looking collections rate can quietly hide lost money. Christophe shares one clinic that found about $86,000 it was already owed, and put it straight back into the kids, with new toys, new furniture, and a nicer space.
• Why he encourages owners to look at collections per payer over time, not just the comforting aggregate number, and which reports are worth watching.
• How payer rules shift, sometimes weekly, and how seeing claims at scale lets Camber catch a change at one clinic and fix it for everyone.
• Time to bill, and why getting from monthly down to a few days is one kind of problem, while getting to 24 to 48 hours is really a clinical operations question.
• Denials, prepayment reviews, and the rising, often invisible labor cost of chasing a claim that could have been clean the first time.
• What private equity buyers actually look at in your revenue cycle, and why a quality of earnings report can matter long before you ever think about selling.
• Why Camber put a head of policy on payroll, and how feeding real data to Medicaid directors and task forces can help shape decisions about rates and hours on behalf of good providers.

One thing Christophe was careful about, Camber stays on the administrative side. They do not weigh in on clinical notes or how you should document. This is about understanding the system well enough to help you get paid for the work you are already doing.

Learn more about Camber at https://www.camber.health

A large part of the Camber team will be in Boston this August, including Christophe and co-founders Nathan Lee and Celina Qi. Their booth is right by registration, so you truly cannot miss it. Bring your hardest billing questions and your suggestions, because they came to listen. Register here: https://behaviorlive.com/conferences/abacares2026/registration

We'll see you in Boston August 4th through 7th, or live streaming from the other side of the screen.