Yes. SPRY sells its billing work as a standalone service that runs on the EMR your team already uses, or on SPRY's own EMR if you ever move to it. You do not have to replace your clinical software to fix your revenue cycle. The service is priced at 4–6% of collections, based on total billable appointments, and covers credentialing, eligibility verification, prior authorization, claim scrubbing, denial management, MIPS reporting, patient communication and payment collection.

If your clinic is happy with its documentation workflow but tired of what billing costs in denials, staff hours and slow collections, that is the situation this plan exists for. What varies by clinic is the plumbing: how charge and documentation data moves out of your current system and into SPRY's billing process depends on which EMR you run, so the first conversation is always a compatibility check for your specific system rather than a signature.

What Is Included in SPRY's Billing Service?

The Billing Service is the same revenue-cycle work SPRY's full-platform customers get, sold on its own. Per SPRY's pricing page, the plan covers:

Credentialing services — enrolling and maintaining provider credentials with payers.

Bulk eligibility verification dashboard — checking insurance and benefits across your patient volume from one screen instead of one patient at a time.

Prior authorization services — requirement detection, documentation assembly and status tracking, the same workflow described across SPRY's payer-specific prior authorization guides.

Advanced claim scrubbing — catching coding and eligibility errors before a claim leaves the building.

Denial management — working denials rather than filing them, with root-cause fixes fed back into the front end.

Integrated payments — payment links and card on file.

Manual bill submission for offline payors — for the payers that still want paper or fax.

MIPS reporting — for practices that have to report Merit-based Incentive Payment System data.

Patient communication — explanation of charges by email and SMS.

Payment collection — follow-up and collection activity by email or physical mail.

This is a full revenue-cycle service, not a claims-submission bureau. The only difference from SPRY's all-in-one customers is that your clinical documentation stays where it already lives.

On performance: SPRY publishes 97%+ eligibility accuracy before check-in, 95%+ clean claims on first submission and 24–48 hour denial resolution for its revenue-cycle process. Those figures describe the process as a whole rather than being broken out by plan, so ask for the numbers behind them for a clinic of your size and payer mix before you treat them as a forecast.

How Much Does SPRY's Billing Service Cost, and How Does It Compare?

The Billing Service is priced at 4–6% of collections, based on total billable appointments. For reference, MGMA notes that industry benchmarks often estimate billing and RCM costs at around 5% of collections — so 4–6% brackets the commonly quoted figure for a service that also carries credentialing, prior authorization and patient collections rather than claims alone.

One question to settle in writing before you compare quotes: whether a given percentage applies to gross charges or to net collections. The same headline number means materially different money depending on the basis, and it is the single most common reason two billing quotes that look identical are not. Ask SPRY, and ask every vendor you put alongside it.

What 4–6% looks like in real dollars

Illustrative monthly figures, to make the percentage concrete. Your own collections and payer mix will move these:

The comparison that matters is not percentage against percentage. It is this recurring cost against what billing actually costs you in-house today — salaries and benefits, billing software licensing, training and turnover, plus the revenue that never arrives because denials go unworked and follow-up slips. SPRY's in-house versus outsourced breakdown walks that math through with real line items.

What Should You Ask Before Outsourcing Billing Without Switching EMR?

Compatibility is the first question, not the only one. A serious vetting conversation with any billing partner, SPRY included, should get concrete answers in four areas.

1. Technology and integration

Are they proficient across multiple EMRs, or mainly their own? What does the actual data hand-off look like for your specific system — interface, export, or manual? Who owns keeping that flow accurate when your EMR changes something on its end? Get this in writing rather than as reassurance.

2. People and process

Will you have a named point of contact or a rotating queue? Do they bill exclusively for physical, occupational and speech therapy, or across many specialties? Is any part of the work subcontracted, and where? Who specifically owns prior authorizations, and how is that tracked day to day?

3. Reporting and accountability

How often do you get reporting on A/R, unbilled claims and denial trends, and in what format? Which KPIs do they manage to — days in A/R, net collection rate, denial rate, clean claim rate, average reimbursement time — and will they show your practice's actual numbers rather than industry averages?

4. Contracts and compliance

What is the minimum commitment, and what does exiting look like? Are there setup fees, and is pricing on gross charges or net collections? Is a Business Associate Agreement provided, and what does it cover for a billing-only arrangement?

A partner that answers these with numbers and documents is a different proposition from one that answers with assurances.

How Do You Know If Your Billing Performance Is Actually a Problem?

Before deciding whether to outsource anything, it helps to know where your numbers actually sit. Three benchmarks do most of the diagnostic work.

1. Denial rate

MGMA's practice-operations data puts first-submission denials at about 8% for single-specialty practices — the same rate it recorded in 2019. AAFP describes 5–10% as the industry average and under 5% as more desirable. If you are running well above that band, the cause is usually systemic rather than sporadic: front-end eligibility, authorization gaps, or a coding pattern a payer edits against. Calculate your own rate before assuming it is fine.

A worked example from outpatient therapy: CPT 97140 (manual therapy) cannot be unbundled from 97124 (massage) at all — APTA's table of PT-relevant NCCI procedure-to-procedure edits lists that pair with a modifier indicator of 0, meaning no modifier makes it payable together. Where a modifier does apply, CMS's NCCI Policy Manual specifies modifier 59 or XU for two timed therapy services performed in different fifteen-minute intervals — not XS, which denotes a separate anatomical structure. Denials on same-day 97140 and 97530 are common but usually come from a commercial payer's own edit rather than from NCCI, which changes how you appeal them. The NCCI edit mistakes guide covers the distinction.

2. Days in accounts receivable

Both AAFP and HFMA put the preferable range at 30–40 days, with AAFP treating 50 days as the outer limit rather than a soft target. Aging matters as much as the average: HFMA puts A/R over 90 days at under 10% of the total, and AAFP puts A/R over 120 days at under 12%. A respectable headline average can still hide a tail of old claims nobody is working.

3. Clean claims rate

There is no professional-body benchmark here, which is worth knowing before someone quotes you one. HFMA's MAP Keys define how to calculate a clean claim rate without publishing a target, and the 98% figure often attributed to HFMA is one it cites from trade press. SPRY publishes 95%+ on first submission for its own process. Treat anything in the mid-to-high nineties as the working expectation and ask how a vendor measures it, since definitions differ.

Two Medicare numbers worth checking against your own reporting while you are in the data: for CY 2026, the KX modifier threshold is $2,480 for PT and SLP services combined and $2,480 for OT, with the targeted medical review threshold at $3,000.

If your denial rate sits well above 10%, your days in A/R are climbing past 50, or more than a tenth of your A/R is older than 90 days, that is a concrete, numbers-based reason to evaluate outsourcing — rather than a sense that billing feels behind.

Is It Cheaper to Keep Your EMR and Outsource Billing, or Switch to SPRY Entirely?

That depends on where your problem actually lives — in documentation and workflow, or in the billing process itself. The costs are not comparable in kind: a billing carve-out is a recurring percentage, while a platform change is a one-time project plus disruption.

SPRY's own analysis of what PT clinics really pay to migrate EMRs puts the all-in cost of switching between roughly $4,500 for a single provider and $245,000 for a 16-plus provider enterprise, with complex data migrations adding $5,000–$25,000 in vendor time and legacy exit fees running one to three months of remaining contract value. On timing, SPRY publishes 30 business days to full go-live, with small clinics often landing inside two weeks and larger enterprises at six to eight, and it does not charge for data migration.

For the wider architectural question — embedded billing, a bolt-on module, or an outsourced service — SPRY's comparison of the three RCM models sets out the trade-offs in more depth than this page does. And OC Sports and Rehab's experience is worth reading if migration risk is what is actually holding you back.

Data Security and Compliance for a Billing-Only Engagement

SPRY operates HIPAA-aligned workflows and access safeguards, and Business Associate Agreements are available for covered entities. A billing-only arrangement has a specific wrinkle worth handling explicitly rather than assuming: clinical data continues to live in your existing EMR while billing and claims data flows to SPRY, so the boundary is different from a full-platform customer's.

Three things to pin down in writing before signing: which specific data categories move to SPRY as part of the billing service, what the BAA covers for that arrangement, and how it differs — if at all — from the agreement a full-platform customer signs.

What Happens If You Want to Move to SPRY's Full Platform Later?

The slowest parts of onboarding are already behind you. Payer credentialing, eligibility verification setup and the routing rules for each of your payers are done the moment you become a billing customer, and none of that work is repeated. What remains is the clinical side: migrating patient records, scheduling and documentation history out of your current EMR.

That is the same data migration SPRY performs at no additional fee for any new full-platform customer, on the published 30-business-day timeline. A billing customer moving up should sit at the faster end of it, since roughly half the usual implementation is already complete. Pricing and timeline for your specific situation are worth confirming with the team rather than inferred — ask when you ask about compatibility.

Frequently Asked Questions About SPRY Billing and Your Existing EMR

Can I use SPRY's billing service without switching my EMR?

Yes. SPRY's Billing Service plan is built to run on your existing EHR or on SPRY's own, priced at 4–6% of collections. Because the data hand-off differs by system, confirm compatibility for your specific EMR with SPRY's team before you commit.

What is included in SPRY's Billing Service plan?

Credentialing, a bulk eligibility verification dashboard, prior authorization services, advanced claim scrubbing, denial management, integrated payments with payment links and card on file, manual bill submission for offline payors, MIPS reporting, patient communication by email and SMS, and payment collection follow-up.

How much does SPRY's Billing Service cost?

4–6% of collections, based on total billable appointments. MGMA notes that industry benchmarks often estimate billing and RCM costs at around 5% of collections, so the range brackets the commonly quoted figure for a full-scope service.

Does the 4–6% apply to gross charges or net collections?

Confirm the basis directly with SPRY's team before comparing it to another vendor's quote. The same percentage translates into meaningfully different dollars depending on whether it is calculated on gross charges or net collections, and it is the most common apples-to-oranges error in billing comparisons.

Is outsourcing billing cheaper than switching to SPRY entirely?

It depends where your problem is. A billing carve-out avoids the one-time cost of an EMR change, which SPRY's own analysis puts between roughly $4,500 and $245,000 depending on practice size. A full switch may fix documentation and workflow problems that a billing service cannot touch.

What denial rate is normal for a PT practice?

MGMA puts first-submission denials at about 8% for single-specialty practices, and AAFP describes 5–10% as the industry average with under 5% more desirable. Running well above that band usually signals a systemic front-end problem rather than isolated errors.

How many days in A/R is a problem?

AAFP and HFMA both put 30–40 days as the preferable range, with 50 days as the outer limit. Check the aging as well as the average: HFMA puts A/R over 90 days at under 10% of the total, and AAFP puts A/R over 120 days at under 12%.

Does SPRY's billing service include prior authorization?

Yes. Prior authorization services are part of the Billing Service plan, using the same requirement detection, documentation assembly and status tracking described in SPRY's payer-specific prior authorization guides.

Is SPRY's billing service HIPAA compliant?

SPRY operates HIPAA-aligned workflows and access safeguards and makes Business Associate Agreements available to covered entities. For a billing-only engagement, confirm exactly which data categories move to SPRY and what the BAA covers for that specific arrangement.

Can I move from billing-only to SPRY's full platform later?

Yes, and it should be faster than a fresh implementation, because credentialing and payer setup are already done. What remains is clinical data migration, which SPRY performs at no additional fee on a published 30-business-day timeline. Confirm pricing and timing for your situation with the team.

See If Your EMR Works With SPRY Billing

Confirm compatibility with your specific system, see the full scope of what is included, and get real pricing for your practice's volume — without a migration on the table.

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