Billing for speech-language pathology is not general billing with a different code set. Evaluation complexity tiers and untimed treatment codes, where one unit covers a session regardless of length.
Coverage is frequently limited to restorative rather than developmental care, and school-based services are excluded outright by many plans.
At a glance
What drives the coding
Evaluation complexity tiers and untimed treatment codes, where one unit covers a session regardless of length.
What drives the payer behavior
Coverage is frequently limited to restorative rather than developmental care, and school-based services are excluded outright by many plans.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where speech-language pathology claims actually fail
- Developmental delay excluded as non-restorative
- Multiple units billed on an untimed code
- Evaluation tier unsupported by the assessment
How we work it
We code from what your record documents and query you when it does not support a code, which in speech-language pathology is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current speech-language pathology denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Speech-Language Pathology — Frequently Asked Questions
Do you have coders who know speech-language pathology?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — evaluation complexity tiers and untimed treatment codes, where one unit covers a session regardless of length.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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