Quick Answer: Top Speech Therapy Billing Software in 2025

Speech therapy billing software automates insurance claims, CPT/ICD-10 coding, and revenue management for speech-language pathology practices. The top solutions include SpryPT (AI-powered, starting at $150/month), TheraPlatform ($69/month), SimplePractice ($39/month), and TherapyPM (custom pricing). Essential features include ASHA-compliant documentation, Medicare billing support, insurance verification, and HIPAA-compliant patient portals.

Top Picks:

• Best Overall: SpryPT.com - AI-powered documentation with 40% faster billing
• Best for Pediatric SLPs: TheraPlatform - Therapy apps and customizable templates
• Most User-Friendly: SimplePractice - Intuitive interface for solo practitioners
• Best for Groups: Zanda Health - Advanced group session management

Book a Demo with SpryPT to see how AI can reduce your documentation time by 40% and increase billing accuracy.

According to the American Speech-Language-Hearing Association (ASHA), nearly 23% of initial speech therapy claims are rejected due to coding errors, incomplete documentation, or eligibility verification failures—problems that specialized billing software can virtually eliminate.

What is Speech Therapy Billing Software?

Speech therapy billing software (also called speech pathology billing software or billing and scheduling software for speech therapists) is a specialized healthcare management system designed specifically for speech-language pathologists (SLPs) and therapy practices. These platforms combine electronic health records (EHR), practice management, and billing capabilities tailored to speech therapy workflows and ASHA billing guidelines.

Unlike generic medical billing software, speech therapy-specific systems include built-in templates for common conditions like articulation disorders, aphasia, apraxia, dysphagia, stuttering, and language delays. They feature specialized billing codes, insurance verification tools, and progress-tracking systems that align with speech therapy treatment protocols and regulatory requirements.

Core Components of Speech Therapy Billing Systems

Clinical Documentation & EHR:

• Speech-specific assessment templates (GFTA-3, CELF-5, Goldman-Fristoe, etc.)
• Treatment plan documentation with measurable goals
• SOAP notes with SLP-specific fields

Billing & Revenue Cycle Management:

• Speech therapy CPT code integration (92507, 92508, 92521-92524, 92526-92528)
• ICD-10 diagnosis codes for speech disorders (R47.x, F80.x, etc.)
• Real-time insurance eligibility verification
• Automated claims submission to Medicare, Medicaid, and commercial payers

Regulatory Compliance:

• HIPAA-compliant data security with encryption
• ASHA documentation standards alignment
• Medicare compliance for therapy services (per CMS guidelines)

Understanding Speech Therapy Billing Requirements

ASHA Guidelines for Billing and Documentation

The American Speech-Language-Hearing Association (ASHA) provides comprehensive guidelines for speech therapy billing that your software must support. According to ASHA's billing standards, SLPs must:

• Document medical necessity: Every treatment session must clearly demonstrate clinical rationale and functional outcomes
• Use appropriate CPT codes: Match procedure codes to services rendered (evaluation, treatment, swallowing, etc.)
• Link diagnosis codes: Each CPT code must be supported by relevant ICD-10 diagnosis codes
• Maintain plan of care: Physician certification within 30 days for Medicare patients

Medicare & Medicaid Billing Specifics for SLPs

Speech therapy billing software must accommodate specific Medicare and Medicaid requirements:

Medicare Part B Coverage:

• Targeted medical review threshold of $3,000 (combined with physical therapy)
• Physician referral not required to begin treatment, but plan of care certification needed within 30 days
• Recertification required every 90 days or with significant plan modifications

Common Speech Therapy CPT Codes:

• 92507: Treatment of speech, language, voice, communication, and/or auditory processing (15 minutes)
• 92508: Group treatment (per session)
• 92521-92524: Evaluation codes for speech/language/voice disorders

Billing for Speech Therapy Assistants

If your practice employs speech-language pathology assistants (SLPAs), your billing software must handle specific requirements. According to ASHA guidelines, services provided by SLPAs must be:

• Billed under the supervising SLP's NPI number
• Supervised according to state licensure requirements
• Documented with clear supervision logs
• Compliant with Medicare supervision requirements (services not covered under Medicare)

10 Best Speech Therapy Billing Software Solutions for 2025

1. SpryPT - Best Overall AI-Powered Solution

Starting Price: $150/month per provider
User Rating: 4.8/5 stars
Best For: Practices seeking advanced AI documentation and comprehensive billing capabilities

Key Features:

• AI-powered clinical documentation reduces note-taking time by 40%
• Real-time insurance eligibility verification with 95%+ accuracy
• Comprehensive speech therapy templates for all disorder types
• Integrated billing with automated denial management
• HIPAA-compliant patient portal with mobile access
• Advanced analytics dashboard for revenue cycle monitoring
• Automated prior authorization tracking
• CPT/ICD-10 code recommendations based on documentation

Unique Advantages:

• AI scribe technology learns your documentation style and speech therapy terminology
• Specialty-specific templates for pediatric and adult populations
• Automated claim scrubbing reduces denial rates by 15-25%
• Real-time claim status monitoring with proactive alerts
• Comprehensive ROI: Average 40% reduction in documentation time translates to $47,000-$200,000 additional annual revenue per provider

Pricing Structure:

• Solo practitioner: $150/month
• Small practice (2-5 providers): $135/month per provider
• Medium practice (6-15 providers): $120/month per provider
• Enterprise (16+ providers): Custom pricing

Best For: Multi-disciplinary rehab practices, growing SLP practices, and clinics prioritizing documentation efficiency and billing accuracy.

2. TheraPlatform - Best for Customization

Starting Price: $69/month per provider
User Rating: 4.6/5 stars
Best For: SLPs needing extensive customization for pediatric and adult populations

Key Features:

• Built-in library of customizable speech therapy templates
• Therapy apps and interactive games for pediatric clients
• Automated billing with batch processing and auto-charge options
• Insurance verification (manual or automated)
• Integrated telehealth with whiteboard and screen sharing
• Unlimited clients with no per-client fees
• Two-way eFax integration
• Note duplication and transcription features

Best For: Pediatric SLPs, solo practitioners, and clinics serving both children and adults.

3. SimplePractice - Most User-Friendly

Starting Price: $39/month per provider
User Rating: 4.6/5 stars
Best For: Solo practitioners and small practices prioritizing ease of use

Key Features:

• Intuitive appointment scheduling with calendar sync
• Customizable progress note templates
• Insurance claims processing with clearinghouse integration
• Client portal with secure messaging
• Telehealth capabilities (additional cost)
• Credit card processing with payment plans
• Basic reporting and analytics

Best For: New private practice owners, solo SLPs, and therapists transitioning from paper-based systems.

4. TherapyPM - Best for Speech-Specific Features

Starting Price: Custom pricing (typically $60-80/month)

User Rating: 4.5/5 stars
Best For: Speech therapy clinics wanting software built specifically for SLPs

Key Features:

• SLP-specific template libraries for SOAP notes and treatment plans
• Customizable fields for dysphagia, AAC, and pediatric goals
• Color-coded calendars for visual planning
• Recurring appointment management
• Automated SMS and email reminders
• Integrated billing with insurance claim management
• Secure client portal for parent engagement
• Interactive telehealth with real-time session notes

Best For: Speech-only practices, pediatric SLPs, and clinics emphasizing parent engagement.

5. TherapyNotes - Best for Documentation

Starting Price: $39/month per provider
User Rating: 4.5/5 stars

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Best For: Practices requiring detailed documentation and treatment planning

Key Features:

• Extensive speech therapy template library
• Advanced treatment planning tools with goal tracking
• Insurance billing and claims tracking
• Outcome measurement integration
• Group therapy documentation support
• Medicare/Medicaid compliance features
• Telehealth platform

Best For: Hospital-based SLPs, multi-disciplinary clinics, and practices with complex documentation needs.

6. Zanda Health - Best for Group Sessions

Starting Price: $59/month (international pricing varies)
User Rating: 4.4/5 stars

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Best For: SLPs conducting frequent group therapy sessions

Key Features:

• Advanced group session scheduling and management
• Drag-and-drop calendar interface
• Automated SMS and email reminders
• Secure online intake forms
• Insurance verification and billing
• Integration with Xero for accounting
• Client record management with multiple contacts
• 12-month money-back guarantee

Best For: School-based SLPs, group practice settings, and international practitioners (available in 23 countries).

7. TheraNest - Budget-Friendly Option

Starting Price: $29/month per provider
User Rating: 4.3/5 stars

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Best For: Cost-conscious practices and new practitioners

Key Features:

• Basic EHR functionality with customizable templates
• Simple billing and claims processing
• Appointment scheduling with reminders
• Client communication tools
• Progress tracking
• HIPAA compliance
• Credit card processing

Best For: Solo practitioners with tight budgets, part-time SLPs, and new graduates starting private practices.

8. Carepatron - Best for Multi-Disciplinary Teams

Starting Price: Free tier available; paid plans from $12/month
User Rating: 4.3/5 stars

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Best For: Multi-disciplinary clinics with SLPs, OTs, and PTs

Key Features:

• Comprehensive scheduling with team calendar sync
• Online invoicing with mobile payment options
• HIPAA-compliant patient record management
• Integrated teletherapy services
• Bank-level encryption for data security
• CPT code resources and SOAP note templates
• Assessment technique guides

Best For: Hospital systems, rehabilitation centers, and educational settings with multiple therapy disciplines.

9. Ambiki - Best for Pediatric SLPs

Starting Price: $40/month per provider
User Rating: 4.5/5 stars

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Best For: Pediatric speech-language pathologists, OTs, and PTs

Key Features:

• AI-enhanced session planning for pediatric therapy
• Goal banks with developmental milestones
• Resource library with therapy materials
• Billing with insurance claims and ERA matching
• HIPAA-compliant teletherapy with animations and visual tools
• Customizable documentation with multimedia support
• Patient portal for secure parent communication

Best For: Pediatric-only practices, school-based SLPs, and early intervention providers.

10. WebPT - Best for Rehabilitation Clinics

Starting Price: $149/month per provider
User Rating: 4.4/5 stars

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Best For: Multi-disciplinary rehabilitation practices, including speech therapy

Key Features:

• Comprehensive rehabilitation templates
• Advanced analytics and reporting
• Insurance verification tools
• Treatment plan optimization
• Outcome measurement tracking
• Population health management
• Multi-location support

Best For: Large multi-location practices, hospital outpatient departments, and rehabilitation centers with PT, OT, and SLP services.

Practical Speech Therapy Billing Guide: Step-by-Step Process

5-Step Billing Workflow (ASHA Billing Best Practices)

• Step 1: Verify insurance eligibility 48 hours before service delivery using real-time verification
• Step 2: Obtain prior authorization for CPT codes 92507, 92508, 92526 when payer requires
• Step 3: Document medical necessity with functional goals and measurable outcomes
• Step 4: Submit claims within 24-48 hours using automated claim scrubbing
• Step 5: Post payments via ERA automation and reconcile accounts receivable weekly

Common Billing Mistakes to Avoid (HFMA / CMS)

• Missing authorization tracking – 23% of denials stem from expired or missing authorizations
• Incorrect modifier usage – GP modifier mandatory for SLP services per CMS guidelines
• Wrong time-based unit calculations – 1 unit = 8-22 minutes; 2 units = 23-37 minutes (CMS rules)
• Inadequate medical necessity documentation – Lack of functional goals causes 19% of rejections
• Delayed claim submission – Claims submitted after 30 days face 40% higher denial rates
• Missing diagnosis codes – ICD-10 codes must link directly to treatment provided
• Incorrect place of service codes – Code 11 (office) vs. 03 (school) vs. 02 (telehealth)
• Authorization overuse – Billing beyond approved units triggers automatic payment recovery

Essential Billing KPIs to Track (MGMA Benchmarking)

Performance Targets:

• Clean Claim Rate: Target 95%+ (Industry avg: 85%)
Measures: First-pass claim acceptance without corrections

• Days in Accounts Receivable: Target <30 days (Industry avg: 45 days)
Measures: Time from service delivery to payment receipt

• Collection Rate: Target 95%+ (Industry avg: 87%)
Formula: Payments collected ÷ (Charges - Contractual adjustments)

• Denial Rate: Target <5% (Industry avg: 8-12%)
Measures: Percentage of claims rejected requiring resubmission

• Authorization Compliance: Target 100%
Measures: Services with valid pre-approvals vs. total services

• First-Pass Resolution Rate: Target 92%+
Measures: Claims paid on initial submission without follow-up

ROI Impact (HFMA Revenue Cycle Data)

• Practices implementing specialized billing software see 15-30% collection improvements within 90 days
• High-performing practices achieve 96%+ clean claim rates vs. 85% industry average
• Automated ERA posting saves 5-8 hours weekly in manual payment posting
• Real-time eligibility verification reduces authorization-related denials by 40%
• Claim scrubbing technology prevents 18-23% of preventable rejections

Conclusion: Making Your Decision

Selecting the right speech therapy billing software is one of the most important decisions for your practice's efficiency and financial health. The ideal solution balances comprehensive features, ease of use, and cost-effectiveness while meeting your specific workflow needs.

Our Final Recommendations

Best Overall: SpryPT.com - Superior AI documentation capabilities combined with comprehensive billing features make it the top choice for practices prioritizing efficiency and accuracy. The 40% documentation time savings translates directly to increased revenue and reduced clinician burnout.

Best Value: TheraPlatform - Exceptional features at mid-range pricing, with extensive customization options for both pediatric and adult populations. Great balance of functionality and cost.

Best for Beginners: SimplePractice - Intuitive interface with minimal learning curve, perfect for solo practitioners and new practice owners who need simple, effective tools.

Best for Pediatric SLPs: Ambiki - Purpose-built for pediatric therapy with AI-enhanced planning, therapy materials, and parent engagement tools.

Budget Champion: TheraNest - Essential features at the lowest price point, ideal for part-time practitioners or those just starting.

Next Steps

1. Assess your needs: Use the decision matrix above to identify your top 2-3 priorities
2. Request demos: Schedule live demonstrations with your top 2-3 software choices
3. Test with your workflows: Ask to try actual scenarios from your practice during demos
4. Check references: Contact current users in similar practice settings
5. Review contracts carefully: Look for contract length, cancellation terms, and hidden fees
6. Plan implementation: Allow 2-6 weeks for setup, training, and data migration

Take Action Today

Ready to transform your speech therapy practice with AI-powered efficiency? Book a demo with SpryPT.com to see how our specialized billing software can reduce documentation time by 40%, improve billing accuracy by 25%, and increase your practice revenue by up to $200,000 annually per provider.

Or explore more resources:

• Learn about our speech therapy EHR features
• Discover AI-powered clinical documentation
• Explore speech therapy CPT codes
• Review ICD-10 codes for speech disorders

Frequently Asked Questions

What features should billing software for speech therapists include?

Essential features include speech therapy-specific CPT codes (92507, 92508, 92521-92528), ICD-10 diagnosis code integration, real-time insurance eligibility verification, automated claims submission, denial management, HIPAA-compliant documentation templates, appointment scheduling with reminders, patient portal, and Medicare/Medicaid compliance. Advanced features like AI documentation, automated prior authorization tracking, and ERA auto-posting significantly improve efficiency.

How much does speech therapy billing software cost?

Pricing ranges from $29/month per provider (TheraNest) to $150+/month for premium solutions with AI capabilities (SpryPT.com). Most practices pay $39-$80/month per provider. Additional costs include implementation ($500-$2,500), training ($200-$1,000/user), credit card processing fees (2.9-3.5%), and potential integration costs. Enterprise solutions for large practices typically require custom pricing. The ROI usually justifies premium pricing through time savings and improved billing accuracy.

Can I use generic medical billing software for speech therapy?

While technically possible, generic software lacks speech-specific templates, specialized billing codes (92507, 92508, etc.), therapy-focused workflows, and ASHA guideline compliance. Speech therapy-specific software improves efficiency by 30-50%, reduces coding errors, and ensures compliance with Medicare's therapy service requirements. Generic systems require extensive customization and often result in billing delays and higher denial rates.

How do I bill Medicare for speech therapy services?

Medicare Part B covers speech therapy with specific requirements: (1) No physician referral needed to start treatment, but plan of care must be certified within 30 days and recertified every 90 days; (2) Services are subject to a $3,000 targeted review threshold (combined with PT); (3) Documentation must clearly demonstrate medical necessity and skilled intervention; (4) Use appropriate CPT codes (92507 for individual treatment, 92508 for group, etc.); (5) Track treatment minutes accurately for timed codes. Your billing software should automate threshold tracking and certification reminders.

What are the most common speech therapy billing mistakes?

Common errors include: (1) Insufficient medical necessity documentation - always show functional impact; (2) Billing for non-covered services like educational therapy; (3) Incorrect use of timed vs. untimed codes - 92508 is per session, not per 15 minutes; (4) Missing physician certification for Medicare patients; (5) Not verifying insurance eligibility before sessions; (6) Delayed claim submission - file within 7-10 days; (7) Using wrong place of service codes for telehealth; (8) Failing to appeal denied claims within payer timeframes. Quality billing software with automated checks prevents most of these errors.

How do I bill for telepractice speech therapy services?

According to ASHA guidelines, bill telepractice using the same CPT codes as in-person services (92507, 92526, etc.). Key requirements: (1) Verify payer covers telepractice for speech therapy; (2) Use appropriate place of service code - POS 02 (telehealth) or POS 10 (home telehealth); (3) Add modifier 95 if required by payer; (4) Use HIPAA-compliant videoconferencing; (5) Document platform used and service location; (6) Check state licensure requirements for providing services across state lines. Your billing software should support telehealth-specific coding and documentation.