From Chaos Consulting

06/18/2026

Using Central Reach, Motivity, Chorus, ReThink or Ensora etc. This is for you:

Using these does not mean you're HIPAA compliant.

I see this constantly in ABA practices, especially early-stage ones. The platform is compliant. The contract is signed and a BAA is in place. And then someone is emailing a session note, an authorization, or a parent update from their personal Gmail account.

That's a breach. Full stop.

But even if PHI never touches the inbox.. there's another problem nobody talks about.

Your staff are logging into your clinical platform with their personal email.

That matters because:
- When they leave, can you disable that access immediately?
- Where are their password reset links going? Their MFA codes?
- If their personal email gets compromised, that's now a direct path into your client data.
- You have zero control over an inbox you don't own.

HIPAA compliance isn't about the software. It's about the entire ecosystem PHI touches.

Personal emails are not compliant. Ever. Even just as a login.

Staff accessing client data on personal phones without a device policy? NOT COMPLIANT.
WhatsApp, personal texts, Messenger for parent communication? NOT COMPLIANT

The BAA you signed with your platform doesn't protect you when your RBT logs in from an account you can't audit, control, or deactivate.

Compliance lives in your policies, your training, your enforcement, and your culture, not just your tech stack.

Google Workspace and Microsoft 365 are both inexpensive. Both give you control over every account, every login, every offboard. Don't let a small cost per month, drain everything you spent years building.

This is where compliance actually starts.

Call now to connect with business.

06/17/2026

Most fractional operators will tell you they work with 10, 12, 15 clients at a time.

I don't.

Not because I can't. Because the work I do doesn't allow for it.
The practices I work with are founders. Early-stage. Usually within their first three years. They don't need someone to swoop in with a slide deck full of recommendations and disappear.

They need processes that don't exist yet — built, documented, and actually working before I leave.

That's not advice. That's operations.

Fractional doesn't mean fractured attention. It means I'm inside your practice, not consulting from a distance. My capacity is intentionally small because the work is intentionally deep.

One Fully Embedded spot left. One Launch Bridge opening.
Intentional scaling only.

📎 fromchaos.co

06/16/2026

I feel like my website says a whole lot but I still get a lot of questions. It’s usually about how this actually works, so I figured I’d just say it plainly.

I’m fractional! Which means I function as a Director or COO of Operations without the full time cost. What makes this different from traditional consulting is that I’m actually embedded. I’m in your systems, your team, your meetings and your workflows. The work gets built, not just planned.

And yes, I do this across multiple practices at once. Each client gets a dedicated scope and presence. It’s not divided attention, it’s structured capacity. Think of it like having a department head who serves more than one location. The focus is real, it’s just allocated intentionally.

Because of that there’s no public number and I don’t take vendor calls. If you found a number its probably my personal. So please know I won’t be calling you back. My mother barely gets return call, that’s sad I know. But my time lives inside my clients’ businesses. It’s just how the model works.

Personal email is also not the move. It’s not because I’m unapproachable but because there’s no HIPAA protection there and the spaces I work in require more than that.

I keep a very small roster on purpose. This only works when I can actually show up fully for each one.

The right people usually find me through a referral or a LinkedIn conversation with some real context behind it.

If that sounds like you, let’s talk. 👋🏼

06/15/2026

BCaBA vs RBT in North Carolina.. Let’s talk about it and why you’re thinking about it wrong.

A lot of NC practice owners dismiss BCaBA as a staffing strategy because “they bill at the same rate as an RBT in NC.”

And technically? Not wrong. Most payers here aren’t cutting BCaBAs a higher line item.

But here’s what that argument is missing:

Billing rate is not the same as VALUE to your practice.

A BCaBA can supervise RBTs. They can carry a higher caseload with less BCBA oversight. Reduce your BCBA’s administrative and supervision burden. And they’re far less likely to ghost you after you just paid for their training.

You’re not paying BCaBA wages to bill higher. You’re paying them to stabilize your clinical infrastructure.

Now let’s talk money:

Every RBT who ghosts at 90 days cost you real dollars. Relias/CRI whichever 40hr. CPR. Safety training. Onboarding hours if you pay them (thats a different story) Most owners never calculate that number per turnover cycle. Run it that number. Bet it makes you sick 😅

When your BCBA isn’t spending hours on RBT supervision they are billing direct at a higher rate. A BCaBA absorbing that supervision load is revenue recovery.

When cases go unbilled during RBT gaps that’s revenue loss that never shows up on a P&L but absolutely shows up in your bank account.

A stable BCaBA increases your billable hour consistency, protects your BCBA from burnout, and reduces the single most expensive turnover in your practice. BCBA replacement costs dwarf anything you’d spend on a BCaBA salary.

On the pipeline side:

Not every BT or RBT who gets a bachelor’s degree wants a master’s. That’s a 2-3 year commitment, grad school debt, and a completely different life decision.

BCaBA is a very realistic next step for someone already in the field who wants to grow, without blowing up their life to do it. If you’re not building that pathway inside your practice you’re leaving retention and clinical stability on the table. And you’re making a career decision for your staff that isn’t yours to make.

In 2026 ABA you need both, and you need to plan for both intentionally.

RBTs are your workforce engine. BCaBAs are your retention and supervision bridge. Neither replaces the other.

Build the ladder or keep rebuilding from scratch. Your call.

06/10/2026

Virginia Medicaid is doing unannounced site visits right NOW.

If you’re in VA, FL or TX I’m especially talking to you!! But really ANY state and you used a registered agent address to get credentialed, you need to go pull your payer contracts today.

A lot of payer contracts require a COMMERCIAL address. Not an RA. Not a virtual mailbox. Even if you only do in home services (and that’s where they get ya).

If what you submitted doesn’t match where you’re actually operating, that’s not just a technicality. That’s a credentialing issue. Depending on how it was billed it can become a false claims issue real fast. (AKA your pockets about to be hurting my dudes)

The people most at risk are the ones who moved fast to get credentialed. Or the ones who used an RA to do it, and never went back to update it. Or they’re running hybrid and figured nobody would check.

They’re checking now and they are coming unnounced. They’re checking your paperwork. They’re popping up and you’re about to pay for it.

Go audit your addresses. Know what you attested to. And if you’re not sure, you better find out before Medicaid does it for you. 👀

06/09/2026

For the people in the back -> I’m not the risk.

Did you know that in most states, time spent traveling between worksites for W-2 employees is compensable under the FLSA?

Not reimbursement but paid time.

That RBT driving from one client’s home to the next? That’s on the clock. Has been the whole time.

Most practices either don’t know that, or took advice from someone who didn’t.

And that’s exactly how you end up with years of back wage exposure sitting quietly in your operations while you’re busy just trying to run a practice.

That’s what I mean when I say the gaps don’t announce themselves.

I’m not here to scare you. I’m here because by the time it gets loud (a complaint, a wage claim, an audit) the cost is always higher than the fix would have been.

I show up embedded. Inside your operations, under your brand. I find the gaps, I tell you exactly what they are, I tell you what they cost, and then I actually fix them. The behind the scenes stuff nobody has time to think about like SOPs, compliance, HR, billing risk.

That’s the work I do every day.

Not a report. Not a framework. Simply Ex*****on.

If that makes you nervous, sit with it. It probably should. My knowledge doesn’t make you any less, it gives you a significant advantage.

When you’re ready to clean it up before it cleans you out, we’re here.

05/15/2026

My team doesn’t work for you. We work as you.

Same brand. Same voice. Same email signature. When we send an offer letter, negotiate a salary, follow up on a denied claim, or walk into a pediatrician’s office with your brochures.. we are you.

That’s not a figure of speech. That’s how we operate.

Here’s what that actually looks like in practice:
For our fully embedded clients I’m onsite every 3 months. 3 days inside your building, with your team, building and refining together in person.

And if you want boots on the ground in your community. Cool! That’s an add on.

Two ways to do it:
Add a 4th day every time I come onsite. I’m in pediatric offices, DHS, schools, pre scheduled vendor events. So.. wherever your referral partners are. Branded materials in hand. Your story in my mouth.

Or for full embed clients: add a monthly flat rate and I become your permanent in person community presence. Event coordination, attendance, relationship building. Referral pipeline building. Nationwide.

Virtually the other 330+ days me & my team are handling everything else.

Billing: line by line. Not a summary. We find what was missed, written off, and why. How much is recoupable and your next steps.

Hiring: full cycle, one flat rate, no per-head pricing. We source, screen, negotiate, onboard. In your voice. As your team.

Software: you bought and never set up? Done. Workflows for your virtual or in person staff? Built.

Brand, content, hiring posts, marketing materials? Created, managed, monitored.

Here’s where to start if you’re not ready for a full embed:
Billing audit only: $1,500
Billing audit + recoupment - $2,000
One role, full cycle hiring - $1,500

Full embed, ongoing: $3,500-$4100

5 people. Years of real ABA, behavioral health, and mental health experience. No overseas pipeline. No templates. No guessing.

We become you until you don’t need us to anymore.

📍fromchaos.co

03/28/2026

Heads up!!

From Chaos Consulting website www.fromchaos.co/home is getting a full overhaul. 🔧

New services. Full Team. New look.

HR. Talent acquisition. Billing ops.
Client care ops. People infrastructure. All of it. Actually done.

Not templated. Not pieced together. Not handed off to a subcontractor you've never met.

Fractional doesn't mean partial. It means your whole operation is covered so you can stay in the clinical seat.

Back soon! And better than ever.

Building something that inspires better in everyone.. 🌿

To those praying for me, cheering me on or following along 🫶🏼 thank you!

From Chaos Consulting helps ABA therapy practices and healthcare startups streamline operations and build scalable systems for sustainable growth.

01/10/2026

This week in building From Chaos Consulting:

Had some interesting “partnership opportunity” calls. A few were genuinely aligned on values and could be great collaborations. Others? Basically people wanting to use my reputation in the ABA field to legitimize their shortcuts.

I will not attach my name to anything questionable in a field that carries this much compliance and legal weight. My reputation matters more than any single contract.

Also this week:
∙Finalizing HIPAA-compliant BAA templates
∙Customizing Zoho workflows for a client’s intake process
∙Turning down a project that would’ve been profitable but ethically questionable
∙Reminded myself why I’m picky about who I work with

The unsexy truth about consulting: Most of my week is documentation, systems thinking, and holding firm boundaries about what I will and won’t do.

But here’s what keeps me going: I genuinely believe good ABA changes lives. I’ve seen it as an RBT. I’ve seen it in operations leadership. And I see it now when practices build infrastructure that actually supports quality care instead of hindering it.

These kids are our future community members - cashiers, doctors, teachers, leaders. They deserve practices that do this work RIGHT.

So yeah, I slacked on posting this week. But I didn’t slack on doing this work the right way.

That’s the trade-off I’ll make every time.

12/31/2025

Intake Process Pain Point

Your ABA startup intake process shouldn’t take 47 steps and 2-3 weeks.

But I see this constantly:
→ Parent calls for services→ You manually email them forms→ They fill out paper forms and scan them back (maybe)→ You manually enter everything into your practice management system→ You manually schedule the intake call→ You manually create the client file→ You manually add them to your Teams/Slack→ You manually notify the BCBA→ Somewhere in here, the parent gets frustrated and ghosts

Meanwhile:
∙ Your Clinical Director is doing admin work instead of supervision
∙ Parents are waiting days for a response
∙ You’re losing clients to competitors with faster processes
∙ Your team is duplicating data entry across 3 systems

Here’s how to fix it:
1. Automate intake forms - IntakeQ, Google Forms, whatever you use - make it digital and auto-populate your database
2. Integrate scheduling - Let parents book their own intake calls via Calendly/Microsoft Bookings
3. Build workflows - One form submission triggers the entire onboarding sequence
4. Eliminate duplicate entry - Data flows between systems, not manually re-entered by humans

Real example: At a recent ABA start up, we built a automated bilingual intake workflow that cut intake time from 2-3 weeks to 3-5 days.

Zero additional software costs - just optimizing what they already had.

If your intake process is a bottleneck, you don’t need more staff. You need better systems.

DM me if you want to talk through how to streamline yours.

Send a message to learn more