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 denied instantly. No appeal will overturn it.
Authorizations and Annual Visit Limits Tracked on a Spreadsheet
Payers cap therapy visits. If you miss the limit by one session, the whole claim is 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.
- Our Services
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 and 92611 are timed for instrumental swallow studies.
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
97110 and 97530 can’t be billed if the patient wasn’t present and treated. Caregiver only training has separate codes and payer rules.
Timed Versus Untimed Codes and the 8 Minute Rule
Timed codes: 97129, 97130
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
Timed Versus Untimed Speech Therapy Codes
| 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 ROF structure.
Adding New SLPs, Clinical Fellows and SLPAs to an Existing Group
Onboarding takes 2 to 4 weeks 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 Outsourced Speech Therapy Billing
Services Cost and How Onboarding Works?
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
- Included: billing, A/R, reporting, credentialing support.
- Billed separately: patient statements, printing, and postage.
Onboarding Week by Week, From Access to First Payment Cycle
- Week 1: Access, EHR setup, audit
- Week 2: Eligibility and coding training
- Week 3: Go live and first batch of claims
- Week 4: First payments post
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 Clean Up
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.
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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.