Communication goals need claim-level clarity.
Speech-language pathology billing connects the evaluation, diagnosis, plan of care, authorization and treatment record. A missing link can make clinically necessary care look routine to the payer.
- 97%Coding accuracy on audit
- 50+Specialties covered
- 4.9/5Average client rating
Three ways Speech Pathology claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- Evaluation and treatment records tell different stories
The diagnosis, baseline, goals and treatment note must connect. When they do not, medical necessity is difficult to see even when the care is appropriate.
- Authorization units are consumed incorrectly
Visits, units and service types are not interchangeable on every plan. We track the approval against the actual billed service.
- Re-evaluation or certification dates are missed
The next note may be clinically useful but unpayable when the plan or required assessment has expired. Dates are worked before they become denials.
What we bill for Speech Pathology practices
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How Speech Pathology accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- A speech pathology coder, not a general one
The coder assigned to your account works speech pathology every day. They already know which of your payers do what, and they are watching evaluation frequency, diagnosis support, authorization units, plan-of-care dates and AAC documentation.
- Charges checked against the note
Before anything goes out, the charge is read against the documentation. A code the note does not support is a recoupment waiting to happen, and in speech pathology it is usually the highest value code on the claim.
- Eligibility and authorization ahead of the visit
Coverage is confirmed and any approval is in place before the service, not discovered afterwards when the work has already been done.
- Denials worked to cause, not just refiled
Every denial is tagged by payer and reason code. When a pattern shows up in your speech pathology claims we change the upstream step so it stops recurring.
- Reporting you can act on
Monthly numbers by procedure family and payer, with the one decision they imply, rather than an export nobody opens.
Included for Speech Pathology practices
- Coders who work speech pathology daily
- Charge review against documentation
- Eligibility and benefit verification
- Prior authorization management
- Denial management by payer and reason code
- Aged A/R worked oldest first
- Patient statements and balance follow up
- Monthly reporting by procedure family
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Speech Pathology billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate Speech Pathology service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat Speech Pathology practices ask
Do you bill both speech and swallowing services?
Yes. We configure the workflow around the services your clinicians actually provide and the payer rules attached to them.
Can you manage authorization units?
Yes. Approved units, used units and expiration dates are tracked so scheduling and billing are working from the same number.
Do you support AAC claims?
Yes, including the documentation and authorization trail around evaluation and treatment. Device supply billing is confirmed separately during scope review.
Can you work with pediatric therapy groups?
Yes. We separate each discipline and payer workflow so shared patients do not create shared-unit or authorization errors.
Have a speech pathology coder read your last ninety days
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.