Medical Billing Services for Speech Therapy

Speech Therapy Billing Services for SLP Clinics

Evaluations, therapy sessions, and swallowing care each follow strict payer rules. Our speech therapy billing services review each claim against those rules before submission. SLP clinics nationwide have trusted our speech therapy billing services since 2013.

Revenue Support Made for Speech-Language Pathology

Our speech therapy billing services begin with one reality. Speech-language pathology claims rarely fail because of the therapy itself. Instead, they fail because of a missing GN modifier, an unsigned plan of care, or the wrong evaluation code. That’s why Pyramids Global pairs your clinic with coders who handle SLP claims daily. As a result, evaluations, 92507 sessions, and dysphagia care are billed correctly the first time.

Speech-language pathologist working with a child

What Makes Speech-Language Pathology Billing Different

Young child practicing sounds with a clinician using picture cards

A toddler with a language delay and an adult recovering from a stroke may share your schedule. However, payers treat their care very differently. Pediatric Medicaid plans often require prior authorization, while Medicare tracks a yearly therapy threshold and regular progress reports. Our speech therapy billing services account for each patient’s payer rules from the first visit. As a result, sessions stay covered, claims move faster, and your team avoids surprise denials.

Specialist reviewing insurance claims on a laptop

The Billing Gaps That Quietly Drain Speech Therapy Revenue and How We Fix Them

SLP practices rarely lose money in one big hit. More often, revenue slips away through small, repeated gaps in coding and paperwork. Below are the four we fix most often through our speech therapy billing services:

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Untimed Codes Billed Like Timed Ones

CPT 92507 is billed once per session, not in 15-minute units. Mixing it up with timed codes like 97129 leads to denials or underpayment. Evaluations add another layer, since 92521 through 92524 each fit a different case. Our coders choose the right code every time and add the GN modifier where payers require it.

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Medicare Threshold and Visit Cap Surprises

Medicare uses one yearly threshold for speech and physical therapy combined. Many commercial plans also cap visits each year. Without tracking, sessions go unpaid. So we monitor each patient’s running total, add the KX modifier when care stays medically necessary, and warn you before limits run out.

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Expired Plans of Care and Late Progress Notes

Payers expect a certified plan of care, timely recertification, and regular progress reports. When one of them lapses, delivered sessions get denied. That’s why we track every certification and reporting date for your caseload. Then we flag what’s due early, so your notes are ready before claims go out.

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Therapists Pulled Away by Claim Follow-Up

In many small SLP clinics, therapists end up chasing denials between sessions. That time should go to patients. Pyramids Global takes over claim follow-up and payer calls completely. In fact, practices typically get back 15 to 20 hours of staff time each week.

Inside Pyramids Global’s Approach to Speech Therapy Claims

Our speech therapy billing services are shaped around a real SLP workday. From intake and eligibility to the final payment, every claim moves through a clear, accountable process.

What Speech Therapy Clinics Gain With Pyramids Global

More than 500 practices nationwide rely on Pyramids Global for their revenue cycle. Here’s what SLP clinics gain once our speech therapy billing services are in place.

Proven Therapy Billing Experience

Since 2013, our team has supported SLP clinics nationwide with pediatric, adult, and telehealth caseloads. We know the payer rules and coding standards each caseload brings.

A Specialist Who Knows Your Clinic

You work with one assigned billing specialist, not a general help line. Because that person knows your therapists, services, and payers, answers come quickly and stay consistent.

Error Checks Before Claims Go Out

Each claim runs through real-time scrubbing before it reaches the payer. Missing modifiers, code conflicts, and diagnosis mismatches get caught early, so rejections stay low.

Reporting That Shows the Full Picture

Clear reports cover collections, denial reasons, A/R aging, and claim status. With that view, you can plan staffing, spot payer problems early, and grow your clinic confidently.

Measurable Gains for SLP Clinics

Speech therapy clients see 98% coding accuracy and 99% first-pass claim acceptance. Plus, 86% of collections arrive within 30 days, and revenue can rise by up to 30% within 90 days.

Our Commitment to Speech Therapy Billing Accuracy

Each session you bill represents progress for a patient, whether it’s a child’s first clear sentence or a stroke survivor’s safer swallow. So we give every claim the same attention. After all, small errors repeat quickly across a full caseload.

Pyramids Global’s speech therapy billing services have three clear goals. First, we collect the full amount your clinic has earned. Second, certified coders and claim scrubbing keep errors near zero. Finally, you see exactly where each payment stands.

Pyramids Global team managing speech therapy billing services

More Ways Pyramids Global Supports SLP Clinics

Clean claims depend on the work done before and after billing, especially as coding guidance from the American Speech-Language-Hearing Association keeps evolving. Alongside our speech therapy billing services, Pyramids Global offers:

Speech Therapy Billing Services – Common Questions From SLP Clinics

How much do speech therapy billing services from Pyramids Global cost?

Pricing is customized to each practice based on specialty, claim volume, and the services you need. Book a free consultation and our team will share a clear quote for your practice.

Which speech-language pathology services do you bill?

We bill speech and language evaluations (92521 to 92524), individual and group therapy (92507 and 92508), and swallowing evaluations and treatment (92610 and 92526). We also bill AAC device services, cognitive therapy, and telehealth sessions.

How does the Medicare KX modifier affect speech therapy claims?

Medicare sets one yearly threshold for speech and physical therapy combined. Once a patient passes it, claims need the KX modifier and documentation showing care is still medically necessary. Our coders apply it at the right point.

Do you handle prior authorizations for pediatric speech therapy?

Yes. We start each prior authorization request within 30 minutes of receiving the order. Payer decisions usually take 24 to 72 hours for expedited requests and 7 to 14 business days for standard ones.

Can you work inside our current EHR?

Yes. Our team works directly in your existing EHR or practice management system, so your workflow doesn’t change. We also follow HIPAA-compliant processes and sign a Business Associate Agreement with every client practice.

When will our clinic see results?

Most clinics see measurable improvement within 60 to 90 days. Collections can grow as denials drop and older claims are resolved.

Let Pyramids Global Handle the Billing While You Handle Therapy

Clinic director meeting with a revenue cycle partner

If denials keep piling up or payments keep arriving late, our speech therapy billing services can turn that around. Over 500 practices across the United States have already strengthened their revenue cycle with Pyramids Global, and your SLP clinic can be next.

Hand off coding, modifier tracking, authorizations, and A/R follow-up to a team that works on SLP claims every day. Meanwhile, your therapists stay focused on helping patients speak, swallow, and communicate.

Request a Free Medical Billing Consultation