SPRY is one platform for speech-language pathology practices at every stage — from a single independent SLP clinic to multi-location groups that need mixed timed and untimed billing, the Medicare threshold shared with physical therapy, and GN modifier compliance handled automatically and consistently across every site — not stitched together with spreadsheets and manual checks. Groups evaluating a switch are usually already feeling three specific failures: untimed codes (92507, 92523, 92526) and timed codes (97129–97130, the new G0541–G0543 caregiver-training codes) billed inconsistently between sites, the KX modifier threshold blown past because it's shared with PT and no one is tracking it as one group-wide number, and FEES or AAC specialty billing breaking at locations that don't have the same equipment or credentialed staff. SPRY auto-applies the GN modifier, flags timed-vs-untimed logic by code, and tracks the combined PT/SLP threshold as a single running total per patient across every location — at $79 per provider per month, with a phased migration built specifically to preserve documentation and threshold history during the switch.

Why Multi-Location SLP Groups Are Switching to SPRY

Groups running SLP across more than one site typically call us after a specific failure: a denial spike traced back to one location's billing habits, a KX threshold surprise because no one was tracking PT and SLP visits together, or a specialty-code claim rejected because the software didn't know that location couldn't support it. SPRY's multi-location clients see the same pattern of results regardless of discipline mix — Excel Therapy cut claims processing to 24 hours and added $50K in revenue within the first year after standardizing on SPRY. Founder Bryan Davis: "Switching to SPRY streamlined our operations and increased revenue." (Excel Therapy is a physical therapy practice, not SLP-specific — the closest verified multi-location analog SPRY currently has; the billing-standardization problem it solved applies directly to multi-site SLP groups.) For the full vendor-by-vendor breakdown across practice sizes, see our Best Speech Therapy Software guide and Speech Therapy Billing Software guide — this page is specifically for groups evaluating a multi-location switch.

SPRY vs. Other Platforms for Multi-Location SLP Groups

Disclaimer: Figures below are self-reported (SPRY) or vendor-stated as of 2026, consistent with SPRY's published SLP software comparisons. Verify current figures with each vendor.

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How SPRY Handles Mixed Timed and Untimed Billing Across Locations

The most common multi-location SLP billing failure is applying the 8-Minute Rule where it doesn't apply. Core treatment and evaluation codes — 92507, 92508, 92521–92524, 92526 — are untimed and billed once per session regardless of duration. Cognitive-communication codes (97129–97130) and the new 2025 caregiver-training codes (G0541–G0543) are timed. A therapist who transfers between sites, or a newer hire trained against the wrong reference, can misapply unit math in either direction — and in a blended group-wide report, one site's error pattern doesn't surface until a payer flags it. SPRY flags the correct billing logic by code at the point of entry, so the rule is enforced the same way at every location without relying on individual therapist training.

How SPRY Tracks the Shared PT/SLP KX Threshold Across Sites

CMS sets the CY2026 KX modifier threshold at $2,480 for physical therapy and speech-language pathology combined — a single shared cap, unlike occupational therapy, which gets its own separate $2,480 threshold. In a multidisciplinary group, a patient seeing both a PT and an SLP — even at two different locations within the same practice — draws down one shared total, not two independent ones. A location tracking only its own SLP charges against the threshold will misjudge when the KX modifier is actually required, because the PT visits at another site count against the same cap. SPRY tracks the combined PT/SLP total per patient across the whole group in real time, visible to whichever location is currently treating them, so the threshold decision is never made on incomplete data.

How SPRY Standardizes GN Modifier and Documentation Across Every Location

The GN modifier is required on every Medicare claim delivered under an SLP plan of care. SPRY applies it automatically rather than leaving it to manual entry at each site, and enforces the same standard for the newer G0541–G0543 caregiver-training codes introduced in 2025, which carry their own documentation requirements (time, content covered, caregiver present) that are easy to standardize at one flagship location and let drift everywhere else. One enforced documentation template per code type, applied at every site, closes that gap without adding a manual review step.

How SPRY Handles Specialty Billing: Dysphagia, FEES, and AAC Evaluations Across Sites

Specialty codes complicate multi-location billing further. FEES swallowing evaluations (92610–92617) require specific equipment and credentialed staff that isn't necessarily available at every location, and AAC device evaluations (92605–92609) involve device-specific authorization and follow-up programming codes (92609) that need to be tracked per patient regardless of which site delivers the follow-up. SPRY gives clinical directors visibility into which locations can actually deliver which specialty service, so referrals get routed to the right site instead of getting billed incorrectly at one that can't support the code.

Scheduling Multidisciplinary Teams Across SLP Sites

Pediatric multidisciplinary groups in particular need scheduling that spans disciplines: a child seeing both an SLP and an OT needs coordinated appointments across two providers who may work at different locations in the same group. SPRY gives front-desk staff visibility across sites (with permission controls) and lets owners see utilization by location and by discipline in one view, rather than five separate front-desk teams working from five separate calendars.

What Switching to SPRY Costs

SPRY prices at $79 per provider per month, scaled per provider rather than per location. For context: WebPT runs $299/month per provider, Fusion Web Clinic and TherapyNotes run $199/month, and single-practice tools like SimplePractice and TheraBill run $99–149/month but aren't built for multi-location operations at all. Ask for a quote based on your group's actual provider count per site rather than a flat per-location rate.

What Migrating to SPRY Actually Looks Like

The biggest concern groups raise before switching is losing plan-of-care documentation continuity mid-migration — active treatment plans, evaluation history, and KX threshold running totals for patients across every site. SPRY's migration is built around preserving exactly that data, with a phased rollout (one or two pilot locations first) rather than switching every site simultaneously. Groups above 8–10 locations, or those combining SLP with PT/OT under one multidisciplinary roof, get a longer, staged timeline specifically to protect the shared threshold data during the move — so the switch doesn't create the same denial spike it's meant to prevent.

Is SPRY Right for Your Multi-Location SLP Group?

SPRY fits multi-location SLP groups dealing with inconsistent timed/untimed billing across sites, KX threshold confusion in multidisciplinary teams, or specialty-code claims breaking at locations without the right equipment or credentials — the gaps single-clinic tools like SimplePractice or TherapyNotes weren't built to close. If your group is still tracking these manually across a spreadsheet per location, that's the sign it's time to talk to us.

Frequently Asked Questions

How long does implementation take for a multi-location SLP group?

SPRY runs a phased, pilot-location-first rollout that explicitly preserves plan-of-care documentation and threshold history rather than switching every location simultaneously — timelines extend for groups above 8–10 locations or those combining SLP with PT/OT under one roof. Book a demo for a timeline specific to your group's size.

What happens to my existing patient data and authorization history when I switch?

Migration is built to preserve active treatment plans, evaluation history, and KX threshold running totals per patient across every site — the exact data groups are most worried about losing during a switch.

Does SLP share its Medicare threshold with physical therapy?

Yes. CMS sets the CY2026 KX modifier threshold at $2,480 for PT and SLP combined — a single shared cap, unlike occupational therapy, which has its own separate $2,480 threshold. SPRY tracks the combined PT/SLP total per patient across every site automatically.

What does SPRY cost for a multi-location SLP group?

$79 per provider per month, scaled per provider rather than per location — ask for a quote based on your group's actual provider count per site.

Sources & References

1. CMS, "CY 2026 Therapy Services Updates" — KX modifier threshold amounts. cms.gov/medicare/coding-billing/therapy-services
2. CMS Transmittal R13437CP, "2026 Annual Update of Per-Beneficiary Threshold Amounts." cms.gov
3. Excel Therapy case study, SPRY. sprypt.com/case-studies/excel-therapy-revenue

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