Expert Speech Therapy Billing Services

Get paid faster for every SLP session. No denials for coding errors. No surprises in A/R.

We handle billing for private practices, clinics, schools, and teletherapy groups across the USA. Our team works inside your EHR and follows SLP-specific rules so your claims pay the first time.

Where Speech Therapy Billing Loses Money Before the Claim Leaves Your Office

Most speech therapy denials don’t happen at the payer. They happen at your front desk or in documentation.

“We are sitting for 68 days in AR and nobody can tell me why” is what we hear on discovery calls every week.

Here are the 6 leaks we fix in the first 30 days:

Untimed Codes Billed as If They Were Timed Units

92507, 92508, and 92526 are untimed. You get one unit per session no matter if it was 30 minutes or 60 minutes. Billing 2 units because “the session ran long” triggers an automatic denial.

Missing GN Modifier on Medicare Part B Claims

Every Medicare Part B SLP claim must have GN. GP is for PT. GO is for OT. Use the wrong one and the claim is rejected until it is corrected and resubmitted.

Authorizations and Annual Visit Limits Tracked on a Spreadsheet

Payers cap therapy visits. If you go over the visit limit by one session, that session becomes patient responsibility. Spreadsheets don’t update in real time. We do.

Evaluation and Treatment Billed on the Same Date of Service

92521 to 92524 cannot be billed with 92507 on the same day for the same patient. Most commercial plans follow this. Exceptions exist, but they are payer-specific and need documentation.

Pediatric Claims Denied as Educational Rather Than Medically Necessary

Insurers deny pediatric speech when the diagnosis looks developmental. The fix is medical necessity language in the eval and linking the ICD-10 to a functional deficit, not just a delay.

Clinical Fellow and SLPA Sessions Billed Without Supervision Sign-Off

CFs and SLPAs can provide services, but the supervising SLP must sign and be present per state and payer rules. Missing the signature = denial + takeback risk.

Full-Service Speech Therapy Medical
Billing Services for Private Practices and Clinics

We don’t do partial billing. We run your full revenue cycle so you can focus on patients.

Eligibility and Benefits Verification

We verify benefits 48-hours before the first visit. We confirm speech therapy coverage, copay, coinsurance, visit limits, and prior auth requirements.

Prior Authorization and Visit Limit Tracking

We submit auth requests with the correct CPTs and clinical notes. We track remaining visits and alert you 2 sessions before the cap.

SLP Coding Review and Charge Entry

Every note is reviewed for correct CPT, units, and modifiers before charge entry. No guessing.

Claim Scrubbing and Submission

Claims are scrubbed for GN, KX, 59, 95, and payer rules. Clean claims go out daily.

Denial Management and Appeals

We don’t write off denials. We track the root cause, fix it, and appeal with supporting documentation.

Payment Posting and Reconciliation

ERA and EFT posted within 24 hours. Every payment is reconciled to the claim.

A/R Follow-Up and Collections

Aged balances are worked weekly. We call payers and patients so your A/R doesn’t age past 30 days.

Patient Statements and Balance Support

Clear statements. Payment plans. We handle patient calls so your front desk doesn’t have to.

Monthly Reporting and Revenue Analytics

You get a dashboard with collections, denial rate, top denial reasons, and days in A/R. Updated any day you log in.

Speech Therapy Claims Billing Services Built Around SLP Codes and Modifiers

Coding is where most billing companies get speech therapy wrong. We code it every day.

Evaluation Codes 92521, 92522, 92523, 92524

Speech, language, voice, and fluency evals. Each has specific documentation requirements.

Treatment Codes 92507 Individual and 92508 Group

92507 is untimed, 1 unit per session. 92508 is group therapy, also untimed.

Dysphagia and Feeding Codes 92526, 92610, 92611

92526 is untimed. 92610 is a clinical swallowing evaluation and 92611 is a motion fluoroscopic (modified barium) swallow study. Both are untimed.

AAC Evaluation and Therapy Codes 92607, 92608, 92609

Device evaluation, therapy, and programming. These require detailed justification.

Cognitive Function Intervention 97129 and 97130 as Timed Units

15 minute timed codes. They follow the 8 minute rule. 8 minutes = 1 unit.

Caregiver Training Codes Billed Without the Session

Caregiver training without the patient present is billed with 97550-97552, not 97110 or 97530.

Timed Versus Untimed Codes and the 8 Minute Rule

Timed codes: 97129, 97130, 92607, 92608

Untimed: 92507, 92508, 92526

Mixing them up is the #1 audit risk.

GN, KX, 59 and 95 Modifiers That Decide Whether the Claim Pays

• GN: Required on all Medicare Part B SLP claims
• KX: Required when you exceed the $2,480 threshold in 2026 for PT + SLP combined
• 59: Distinct procedural service
• 95: Telehealth

Speech Therapy Code Reference: How We Bill Each Code Type

Here is how we bill each SLP code type:

Code Type	Example CPTs	Billing Rule	Common Denial Reason
Untimed	92507, 92508, 92526	1 unit per session	Billing multiple units
Timed 15-minute	97129, 97130	8-minute rule applies	Underbilling or overbilling minutes
Evaluation	92521, 92522, 92523, 92524	Cannot bill with treatment same day	Bundled with treatment
AAC	92607, 92608, 92609	Requires justification	Lack of medical necessity

End-to-End Speech Therapy Revenue
Cycle Management, From Intake to Zero Balance

We own the process from the first phone call to the final zero balance.

Front Desk Intake and Demographic Capture

Clean data in = clean claims out. We verify demographics and insurance before visit 1.

Charge Capture Pulled From Your Documentation

We pull charges directly from your note templates so nothing is missed.

Clean Claim Rate and First-Pass Resolution

Our current clean claim rate is 98.4%. First-pass denials drop to under 3% after month 2.

Denial Root Cause Tracking, Not Just Resubmission

Every denial is tagged: eligibility, auth, coding, medical necessity. We fix the process, not just the claim.

Month-End Close and Financial Reporting

Close your books on time with reconciled reports and payer breakdowns.

Speech Therapy Billing Solutions That Work Inside 80+ EHR and Practice Management Systems

You don’t switch systems. We work inside yours.

Therapy-Specific Platforms

WebPT, Fusion Web Clinic, Raintree, Net Health, TheraOffice, Practice Perfect

Behavioral and Multi-Discipline Platforms

SimplePractice, TherapyNotes, TheraNest, CentralReach

General EHRs

athenahealth, eClinicalWorks, Tebra, AdvancedMD, NextGen, DrChrono

No System Switch and No Second Subscription: We Work Inside Yours

We get secure access and bill directly from your existing workflow.

Clearinghouse, ERA and EFT Setup

If you don’t have it, we set it up. If you do, we connect to it.

Medical Billing Services for Speech Therapists in All 50 States

Payer rules change by state. We track them so you don’t have to.

State Medicaid and Managed Care Plan Rules

Each state Medicaid has different auth and documentation rules. We keep a live database.

School-Based and Early Intervention Claims

We bill IDEA Part C, school district contracts, and state early intervention programs.

Multi-State Teletherapy and the ASLP-IC Compact

We verify compact eligibility and state telehealth rules for every claim.

Regional Commercial Payer Policies and Fee Schedules

United, Aetna, BCBS, Cigna. We track fee schedules and policy updates quarterly.

Speech Therapy Provider Enrollment
and Credentialing Services

You can’t get paid until you’re on the panel. We get you there.

Medicare Enrollment Through PECOS

New enrollment and revalidation handled start to finish.

State Medicaid Enrollment and School District Contracts

Paperwork, follow-ups, and approval tracking.

Commercial Panel Applications and Contract Review

We review fee schedules before you sign.

CAQH Profile Setup and Quarterly Attestation

Profiles kept current so applications don’t stall.

Group Versus Individual Enrollment and Reassignment of Benefits

We set up the correct tax ID and reassignment of benefits (CMS-855R).

Adding New SLPs, Clinical Fellows and SLPAs to an Existing Group

Onboarding takes 10 to 14 business days when done right.

Re-Credentialing, Revalidation and Expirable Tracking

We alert you 90 days before any expiration.

How Long Credentialing Takes and What Delays It

Medicare: 60 to 90 days. Commercial: 45 to 120 days. Delays usually come from CAQH or incomplete applications.

Medical Billing for Speech Therapists Across Every Practice Setting

Speech therapy billing is not one- size-fits-all. We tailor it to your setting.

Solo and Small Private Practices

Flat monthly fee or % of collections. You choose.

Pediatric Clinics and Multi- Disciplinary PT, OT and SLP Groups

We separate billing by discipline to avoid threshold and modifier errors.

Teletherapy and Hybrid Practices

95 modifier, place of service, and state licensure tracked for every claim.

Schools, Early Intervention and Contract Therapy Companies

District billing and third-party payer billing run in parallel.

SNF, Home Health and Outpatient Hospital Departments

Part B, Part A, and outpatient billing with the correct billing provider.

Adult Neuro, Voice and Dysphagia Practices

Specialized coding for complex cases and higher reimbursement.

What Do Outsourced Speech Therapy Billing Services Cost, and How Does Onboarding Work?

No hidden fees and no long-term lock in.

Percentage of Collections Versus Flat Monthly Fee

Most practices choose 3 to 8% of collections. High-volume clinics may prefer a flat fee.

What Is Included and What Is Billed Separately

Onboarding Week by Week, From Access to First Payment Cycle

What We Need From Your Practice to Start

EHR access, clearinghouse info, fee schedule, and last 90 days of remits.

Contract Terms and How to Leave

30-day notice. You own all the data. No exit fees.

Why SLPs Choose SwiftCare Billing as
Their Speech Therapy Billing Company in the USA

We don’t do partial billing. We run your full revenue cycle so you can focus on patients.

Coders Who Work Therapy Claims Every Day

Not general medical billers. SLP-specific coders.

Appeals Worked to Resolution Instead of Written Off

We recovered $420,000 in denied claims last quarter alone.

A Named Billing Contact, Not a Ticket Queue

You get a direct phone and email. No portals with 48-hour response times.

HIPAA Compliance and Audit-Ready Documentation

BAAs signed. Security audited annually.

Reporting You Can Open Any Day of the Month

Real time dashboard. No waiting for month-end.

Medical Billing for Speech Therapy Practices: What Changes in the First 90 Days

Baseline Audit of Your Last 90 Days of Claims and Remits

We find exactly where you’re losing money.

Aged A/R Cleanup

Anything over 90 days gets a recovery plan in week 1.

The Numbers We Report Back

Clean claim rate, days in A/R, denial rate by reason, collections per provider.

Get a Free Speech Therapy Billing Audit

Send us your last 90 days of remits. We’ll show you where the leaks are and how much you can recover. No obligation.

Have Questions?
Let’s Discuss

Call us or book a 15 minute consultation. We’ll review your current process and tell you if we can help.

Ready to Turn Your Revenue
Cycle Into a Growth Engine? Let’s talk!

Frequently asked questions

What CPT Codes Do Speech Therapists Bill Most Often?

92507 for individual treatment, 92508 for group, 92521 to 92524 for evaluations, and 92526 for swallowing therapy.

Is 92507 Timed or Untimed, and Can I Bill More Than One Unit Per Session?

92507 is untimed. You bill 1 unit per session regardless of length.

What Modifier Does Medicare Require on Speech Therapy Claims?

GN is required on every Medicare Part B SLP claim.

When Do I Have to Add the KX Modifier in 2026?

When your PT + SLP combined charges exceed $2,480. OT has its own $2,480 threshold.

Does Medicare Still Pay for Speech Therapy Delivered by Telehealth?

Yes. Medicare telehealth authority for SLPs is extended through December 31, 2027.

Why Do Insurers Deny Speech Therapy for Children as Developmental or Educational?

Because the documentation didn’t show medical necessity. We link diagnosis to functional deficits to overturn these denials.

How Do I Handle Plans That Cap Therapy Visits Per Year?

We track visits in real time and request additional authorizations before you hit the cap.

Can I Bill a Speech Evaluation and Treatment on the Same Day?

No. 92521 to 92524 and 92507 cannot be billed together on the same day for the same patient except under specific payer exceptions.