A Higher Standard Speech Therapy Medical Billing Services

Are you spending more time managing claims than focusing on your patients? For a smooth and efficient Speech-Language Pathology (SLP) revenue cycle, you need a billing partner who truly understands the specifics of speech therapy. Our adult neurological SLP billing experts handle complex treatment modalities, ensure proper documentation of medical necessity for therapy services, and take the administrative load off your plate.

Who do we serve?

Trusted Certifications & Compliance Standards for Reliable Accuracy

When it comes to speech therapy billing, accuracy is everything. That’s why we ensure our outsourced speech therapy billing services meet the highest industry standards, providing you with peace of mind and confidence that your revenue cycle is in capable hands.

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.

Collection Ratio

93 %+

Reduction in AR

40 %

First Pass Clean Claims Rate

95 %+

Revenue Increase

Up to 20 %

Denial Rate

≤ 4 %

Turnaround Time

7- 14 Days

Results-Driven Outsourced Speech Therapy Billing Services

Looking for tangible results for your solo or group practice? Our outpatient speech therapy billing solutions are designed to provide measurable outcomes that positively affect your practice’s financial performance.

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

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

Payment Posting & Reconciliation

Need a stand-alone SLP revenue cycle management (RCM) service?

We Cater Billing For Every Speech Treatment

Looking for the best speech therapy billing company in the USA? Dastify Solutions is a go-to billing solution for speech therapists. We provide outsourced speech therapy billing services to clinics, hospitals, and facilities of all sizes.

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

High Denial Rate

We achieve 95%+ first-pass accuracy through expert medical-necessity documentation and pre-authorization management.

Documentation Gaps

We verify that "Time In/Time Out" and "Functional Goals" are present in every daily note to meet payer standards.

School vs. Medical

We differentiate "Educational" vs. "Medical" goals to prevent duplicate service denials for pediatric patients.

Evaluation Confusion

We audit reports to ensure 92523 (Language + Sound) is fully supported by standardized scores.

Modifier Errors

Precise application of GN (Speech), KX (Cap Exception), and 95 (Telehealth) modifiers to prevent technical rejections.

Reimbursement Delays

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

CPT Codes:

ICD-10 Codes:

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.

Why are claims rejected, and how can I avoid them?

Common causes include incorrect modifiers (missing the GN modifier), missing documentation, or eligibility issues. Verifying benefits, using correct modifiers, and submitting complete documentation help reduce denials.

Can speech pathologists bill Medicare?

Yes. Speech-language pathologists can bill Medicare Part B for medically necessary speech therapy services when provided by a licensed SLP under a physician-certified plan of care, with proper documentation and correct CPT coding.