Speech Therapy Billing That Pays What You Earn
Speech therapy billing requires specialty expertise in dysphagia evaluation and treatment coding, language disorder therapy codes, augmentative and alternative communication (AAC) device billing, and the Medicare therapy threshold rules that govern annual expenditure limits. SLP services delivered in hospital outpatient, skilled nursing, school, and private practice settings each follow different billing pathways. 360Solutions provides SLP billing specialists who apply therapy codes precisely, track Medicare thresholds, and manage AAC device prior authorization for your patients.
Where Speech Therapy Practices Lose Revenue
These are the coding and billing pitfalls that cost speech therapy practices the most — and where our specialised billers add the most value.
Dysphagia Evaluation & Treatment
Swallowing evaluation codes (92610 for clinical, 92611 for video fluoroscopy) and treatment (92526) require specific documentation of swallowing mechanism assessment and therapeutic techniques used. Bundling the evaluation and treatment on the same date without correct modifiers causes routine denial.
Medicare Therapy Threshold Tracking
Medicare's annual therapy threshold requires the KX modifier when a patient's combined PT+OT+SLP spending exceeds the soft cap. SLP services share the threshold with OT. Missing KX or incorrect threshold tracking causes automatic claim rejection.
AAC Device & HCPCS Billing
Augmentative and alternative communication device billing uses HCPCS E-codes and requires a speech-generating device evaluation (92597) and prescription from the SLP prior to DME billing. Coordination between professional evaluation billing and device supplier billing is critical.
Medical Necessity Documentation
SLP claims face increasing pre- and post-payment audit activity. Payers require objective functional measures (ASHA NOMS scales, standardized test scores) and documented progress toward measurable goals. Narrative-only notes without objective data are the top audit failure.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Speech Therapy.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Swallowing evaluation and treatment billed on same date without modifier -59
KX modifier omitted when annual therapy spend exceeds Medicare soft cap threshold
AAC device HCPCS billed without supporting evaluation and physician prescription
Speech therapy units exceed payer-allowed maximum per day
Group therapy code billed for sessions with fewer than two patients simultaneously
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Speech Therapy Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in speech therapy coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Speech Therapy Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified speech therapy billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.