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Speech Therapy Billing Done Right

Speech therapy billing involves complex coding rules that vary by payer, patient age, and treatment setting (schools, clinics, home health). Missing documentation requirements or using incorrect CPT codes can lead to:

✔ Denied claims (costing you thousands)
✔ Audit risks (from Medicare or private insurers)
✔ Lost revenue (from unbilled services)

We specialize in speech therapy-specific billing, helping SLPs and rehab centers:

  • Properly code evaluations & treatments

  • Document medical necessity

  • Navigate school-based vs. clinical billing

  • Maximize reimbursements

We Handle Billing for These Speech Therapy Services

✅ Evaluations & Diagnoses

  • Standardized Testing (92521, 92522, 92523)

  • Language Evaluations (92506, 92507)

  • Fluency Assessments (92521)

✅ Treatment Sessions

  • Individual Therapy (92507, 92508)

  • Group Therapy (92508)

  • Cognitive Therapy (97129, 97130)

✅ Specialized Services

  • Swallowing Therapy (92526, 92610-92617)

  • Voice Therapy (92507, 92508)

  • AAC Device Training (92605, 92607, 92608)

✅ Pediatric Speech Billing

  • Early Intervention (EI) Programs

  • School-Based vs. Clinical Billing Differences

  • Medicaid & IEP Documentation

Top Speech Therapy Billing Challenges We Solve

1. Evaluation Coding Errors

🚩 Problem: Using the wrong evaluation code (e.g., 92507 vs. 92521)
💡 Our Fix: We match codes to the exact type and complexity of testing performed

2. Medical Necessity Denials

🚩 Problem: Claims denied for “lack of medical necessity”
💡 Our Fix: We ensure documentation includes:

  • Diagnosis codes (e.g., F80.2 for mixed receptive-expressive disorder)

  • Functional goals (e.g., “Improve 3-word utterances in 8 weeks”)

  • Progress notes showing measurable improvement

3. School vs. Clinic Billing Confusion

🚩 Problem: Mixing up IEP-related services vs. clinical billing
💡 Our Fix: We help you:

  • Bill Medicaid for school-based services (where allowed)

  • Properly document IEP vs. clinical treatment sessions

  • Avoid duplicate billing issues

4. Swallowing Therapy Billing Mistakes

🚩 Problem: Incorrectly billing 92526 (swallowing therapy) without proper documentation
💡 Our Fix: We ensure:

  • VFSS/MBS results are referenced

  • Treatment plans show dysphagia management

  • Modifier GN is added for Medicare

Why Choose Our Speech Therapy Billing Service?

🔹 SLP-Specific Expertise – We only bill for speech therapy
🔹 Higher Reimbursements – We catch missed billing opportunities
🔹 Fewer Denials – 98% clean claim rate
🔹 Compliance Protection – Audit-proof documentation
🔹 Transparent Reporting – Monthly performance analytics

Free Resources for Speech Therapists

📥 “Speech Therapy Billing Cheat Sheet” (CPT/ICD-10 Codes)
📥 “Medicare Documentation Checklist for SLPs”
📥 “School-Based vs. Clinical Billing Guide”