Running an ABA practice is no small feat. From staffing and scheduling to documentation and compliance, every detail must be carefully managed to ensure smooth operations and quality care. When faced with industry-wide challenges like high demand, limited staff and resources, and ever-changing compliance requirements, growing ABA therapy practices often feel the pressure the most. The constant juggling of administrative tasks can lead to burnout, errors, and inefficiencies that ultimately impact both providers and the families they serve.
Successful ABA practices run on efficiency, and having everything in one place makes all the difference. An all-in-one system streamlines operations, reduces administrative burdens, and ensures compliance—allowing providers to focus on delivering exceptional care. Leaders like Cathy Kowalski, M.Ed., BCBA, Clinical Supervisor at Learning Garden and Joseph Adams, M.Ed., BCBA, Owner of Adams Behavioral Consulting LLC rely on CR Essentials to optimize scheduling, simplify workflows, and dedicate more time to client care.


Clinical Supervisor
Learning Garden


Owner
Adams Behavioral Consulting LLC
Compliance: Ensure Accuracy & Avoid Risk
For ABA practice owners, maintaining compliance is a top priority. Federal, state, and local regulations—as well as complex payor requirements—must be consistently followed to avoid costly errors and disruptions.
Relying on outdated, paper-based systems only adds to the compliance burden. As payor audits become more frequent, practices find themselves losing precious hours shuffling through incomplete or disorganized records. As Cathy, Kowalski, M.Ed., BCBA, Clinical Supervisor at Learning Garden shared, “When our system was paper-based and disjointed, our audits were a nightmare. It was just so time-intensive to pull all that paper material together to demonstrate that we were in compliance.”
With CentralReach Essentials, all documentation is digitally housed in a HIPAA-compliant platform. Documentation and billing are seamlessly integrated, making audits and compliance reporting a breeze with accurate data readily available.
Scheduling: Reduce Complexity & Maximize Efficiency
ABA scheduling is complex. Managing staff and client availability, diverse client needs, and logistical constraints can become overwhelming, especially as an organization grows. Not to mention the day-to-day changes that inevitably arise due to short-notice cancelations and staff turnover. So much rides on the accuracy and efficiency of your scheduling workflows. “Your scheduling is the heart of your billing, your payroll–everything comes off of that,” shared Cathy Kowalski of Learning Garden. “When we went to CRE, all of that was integrated in one place. We can just run a report and get our employee hours and get our billing information. It really streamlined multiple aspects of running the business.”
By leaning on automation within an all-in-one system, ABA practices can reduce the time they spend on scheduling, rescheduling, and modifying schedules. This not only frees up valuable administrative hours but also ensures that sessions are accurately tracked, minimizing payroll discrepancies and billing errors.
Scalability: Growing Without the Growing Pains
As startup and small therapy practices grow, managing increasing headcounts and caseloads can quickly become burdensome. When leaning on disjointed and paper-based systems, expansion often leads to operational bottlenecks, inefficiencies, and administrative strain. To successfully scale, organizations require a solution that can sustainably adapt to growth without sacrificing efficiency or quality of care.
CentralReach Essentials offers a scalable solution that connects every aspect of care and practice management within a single system. Gone are the days of managing multiple logins, cross-referencing numerous spreadsheets, and navigating disconnected systems that slow down operations. With everything in one location–from scheduling and billing to documentation and staff management–therapy practices can grow without the growing pains.
“We looked into CentralReach Essentials and wow–It has made a huge difference for my time and my availability to further support staff and families.” –Cathy Kowalski, M.Ed., BCBA, Clinical Supervisor at Learning Garden

Integrating AI-Powered Tools for Greater Productivity & Accuracy
Administrative burdens can take a toll on all staff within an ABA practice, from front-line technicians to the backend admin teams. AI-boosted technologies have the potential to reduce these burdens without sacrificing quality or accuracy. One common pain point for direct care staff is writing daily session notes. Dedicating time and energy at the end of a draining therapy session can be challenging for many.
Maintaining consistency in session notes is essential to reducing errors and ensuring accuracy, but it can be a challenge—especially for direct care staff managing high caseloads and demanding schedules. Variations in documentation can lead to inconsistencies, increasing the risk of compliance issues and administrative inefficiencies. Without a standardized approach, practices may face denied claims, payor audits, and financial setbacks. AI-generated session note summaries make it easier to document the necessary information without taking time away from the therapy session or taking notes home to complete at night.
Leveraging this powerful tool, Behavior Technicians can dedicate their full attention to their clients and spend just a couple of quick minutes at the end of the session finalizing a high-quality note based on the data input throughout the session. This improved productivity permeates multiple aspects of the practice. Staff are more satisfied, non-billable time is reduced, and when session notes are written promptly, billing can be initiated quicker, boosting organizational cash flow.
“Staff perspective on documentation has definitely changed. We get really rich summaries through the AI with a push of a button, so they’re very happy about it.” –Cathy Kowalski, M.Ed., BCBA, Clinical Supervisor at Learning Garden
Promoting Work-Life Balance & Avoiding Burnout
As demand for services skyrockets and greater payor constraints are placed on organizations, many clinicians are feeling the weight of larger caseloads and more administrative responsibilities. These factors, amongst others, are contributing to higher rates of burnout, which have detrimental effects on individuals and the field as a whole.
Leveraging all-in-one technology like CR Essentials allows clinicians to focus more on elevating care without getting bogged down by paperwork, scheduling, and other administrative overload. But it’s not just the clinicians who benefit from a greater focus on work-life balance.
He went on to explain that he was easily putting in 80-hour workweeks when he first started his practice. However, with the adoption of CR Essentials, he was able to significantly cut down his hours to allow for a healthier work-life balance.
Simplify Your Practice. Magnify Your Impact.
Running an ABA practice is complex, but the right tools can simplify operations and set your practice up for long-term success. By bringing all operations under one roof, you can focus more on what matters most–supporting your team while delivering top-notch care.
Want to learn how CR Essentials can transform your practice?
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