A Higher Standard Speech Therapy Medical Billing Services
Who do we serve?
- Solo SLPs
- Hospitals
- Telehealth providers
- Multidisciplinary therapy practices
- Pediatric speech therapy clinics
Trusted Certifications & Compliance Standards for Reliable Accuracy
- 500+ AAPC/ AHIMA-Certified Coders Over 500 certified coders ensure your speech therapy claims are processed accurately and efficiently.
- ASHA CCC-SLP We align with ASHA’s standards for accurate speech therapy billing.
- HIPAA-Compliant Billing Practices Your patient data is secure with our HIPAA-compliant billing practices.
- Medicare and Medicaid Billing Compliance We ensure full compliance with Medicare and Medicaid billing requirements.
Your Journey to Financial Success Begins Here
Need numbers that improve your revenue cycle? Dastify Solution does that for you.
Results-Driven Outsourced Speech Therapy Billing Services
Our billing experts understand the clinical details and the complexities of speech therapy billing. And expertly manage payer-specific requirements, modifier usage, and medical necessity to ensure smooth reimbursement.
SLP Billing & Coding Services
- Our speech therapy CPT coding experts master SLP codes (e.g., 92523, G0541) and apply appropriate ICD-10 diagnosis codes (F80.0, R471) to ensure compliance with medical-necessity requirements.
- Defending High-Value Evaluations (92523): Payers often downcode comprehensive evaluations. We verify your report includes distinct standardized scores for both language AND articulation to justify the higher reimbursement.
- We follow payer-specific coverage rules for SLP to ensure accurate claims and proper use of modifiers (GN for Speech, KX for Cap Exception) to prevent rejections.
SLP Charge Capture Services
- Our certified experts ensure that all speech treatments are documented and recorded in the billing system, preventing revenue loss.
- Our SLP claim submission and charge capture experts record charges immediately after services are delivered, ensuring faster billing and fewer delays.
Eligibility Verification Services
- We verify eligibility with insurers in real time to confirm coverage and determine co-pays, deductibles, and service limits.
- Mastering the Medicare Therapy Cap: For 2025, the combined PT/SLP threshold is $2,410. We track patient usage across disciplines and automatically append the KX modifier when the cap is reached to prevent automatic denials.
- Our insurance verification for speech therapy practices system flags services that require prior authorization, ensuring smooth claim submission and minimizing denials.
Claim Submission & Plan of Care Tracking
- At Dastify Solutions, all claims are sent electronically using the CMS-1500 or EDI 837P form to ensure faster processing.
- Plan of Care (POC) Tracking: We ensure the physician signs the POC within 30 days of the evaluation. If the signature is pending, we hold the claim to prevent "Medical Necessity" denials.
- R49.0 (hoarseness)
AR/ Denial Management Services
- We quickly identify the causes of denials and resubmit them within the payer's time frame.
- Our AR experts ensure your accounts receivable stays under 20-30 days, with careful follow-up on claims at 30, 60, and 90+ days.
Payment Posting & Reconciliation
- All outstanding balances are monitored, and discrepancies are addressed immediately.
- We generate monthly reconciliation reports that provide clear visibility into your practice’s financial status.
Need a stand-alone SLP revenue cycle management (RCM) service?
We Cater Billing For Every Speech Treatment
We have created a tailored solution according to each speech treatment’s billing requirements, so you don’t have to worry about revenue loss ever again!
- Speech Sound Disorders: Articulation and Phonological Therapy
- Language Therapy: Expressive & Receptive Language
- Fluency: Stuttering Treatment
- Cognitive Rehab: Cognitive-Communication Rehabilitation
- Social Therapy: Social Communication Therapy
- Neurological: Aphasia Rehabilitation (post-stroke) & TBI-Related Speech Therapy
- Dysphagia: Swallowing Treatment
- AAC: Evaluation & Intervention (92607-92609)
- Pediatric: Early Intervention (EI) & School-Based SLP Services
Why Do Pathologists Trust Our Speech-language Pathology Billing & Coding?
Dastify solutions provide you with unmatched benefits and services beyond industry standards. We offer automated billing workflows for speech therapists powered by AI so that you can run a practice without errors and delays.
How do we achieve a 95+ clean claim rate for pediatric & adult therapy providers?
- Dedicated Accounts Managers
- Transparent billing & reporting dashboards
- Claim submission within 24 hours
- Powerful AI scrubbers
- Secure HIPAA-Compliant Billing Operations
- Compliance with all payers, including Medicare, Medicaid (including pediatric OT/ST), Private Payers (Aetna, BCBS, UHC, Cigna, Humana), TRICARE, Managed Care Organizations, and School-Based Medicaid.
Overcome Your SLP Billing Challenges with Us
We achieve 95%+ first-pass accuracy through expert medical-necessity documentation and pre-authorization management.
We verify that "Time In/Time Out" and "Functional Goals" are present in every daily note to meet payer standards.
We differentiate "Educational" vs. "Medical" goals to prevent duplicate service denials for pediatric patients.
We audit reports to ensure 92523 (Language + Sound) is fully supported by standardized scores.
Precise application of GN (Speech), KX (Cap Exception), and 95 (Telehealth) modifiers to prevent technical rejections.
Proactive claim follow-up and systematic AR management accelerate payments.
Want to cut your speech practice overhead up to 50%?
Mastering Every Speech Therapy Code for Successful Reimbursements
92521 – Evaluation of speech fluency (including stuttering treatment).
F80.x – Developmental speech and language disorders (speech sound disorders, language delay, etc.).
92522 – Evaluation of speech sound production.
F82 – Specific developmental disorder of speech and language.
92523 – Evaluation of speech sound production and language comprehension.
R47.x – Speech disturbances (e.g., dysarthria, aphasia).
92507 – Speech therapy services (e.g., speech sound disorders, language disorders, voice disorders).
R47.x – Speech disturbances (e.g., dysarthria, aphasia).
92597 – Augmentative and alternative communication (AAC) evaluation.
92526 – Swallowing function evaluation (dysphagia).
92601–92604 – Cochlear implant programming and speech rehabilitation services.
Frequently Asked Questions
Do I need a physician order or referral for speech therapy claims?
Coverage rules vary by payer, but many insurers require a physician’s order or Plan of Care (POC) certification to process claims, especially for Medicare and specific private plans. We track these signatures to ensure they are on file before billing.
