Monthly Medicare billing compliance intelligence built specifically for independent speech-language pathologists. CPT code updates, modifier requirements, OIG audit alerts, and telehealth rule changes — delivered to your inbox on the 1st of every month.
Get Your First Report →$197/month · Cancel anytime · First report within 24 hours
Why This Matters Now
In mid-2025, CMS issued a surprise ruling reversing its longstanding interpretation of who qualifies as an SLP for Medicare billing purposes. Practices that were billing correctly last year may now be out of compliance — and OIG has added SLP billing to its active audit priority list.
Evaluation code upcoding, missing KX modifier documentation, and telehealth visit documentation gaps are the top three audit triggers right now. One denied claim can cascade into a full-practice review.
SLPBillingClarity monitors these changes monthly so you can adjust before you're flagged.
What You Get
Each report is tailored to your specific practice — your state, your payers, your CPT codes. No generic newsletters. No 40-page PDFs. Just the regulatory changes, enforcement signals, and documentation updates that affect your billing this month.
Think of it as a compliance-aware colleague who reads the Federal Register, OIG Work Plan, and MAC bulletins so you don't have to.
Monthly Report Coverage
Changes to 92507, 92508, 92521–92524, 96105, 96125, 92610, 92611 — reimbursement rate shifts, new documentation requirements, and code retirement alerts.
Active enforcement priorities affecting SLP billing — which codes are being flagged, which states are seeing audits, and what documentation gaps are triggering reviews.
-GN modifier requirements, KX modifier documentation thresholds, NCCI edit pairs, and modifier stacking rules that affect your claims.
Post-2025 telehealth coverage for SLP services — place of service codes, documentation requirements, modifier 95/GT usage, and state-by-state Medicaid telehealth rules.
Therapy cap thresholds, automatic exception processes, KX modifier documentation requirements, and targeted medical review triggers for SLP services.
Payer-by-payer coverage changes for Medicare, Medicare Advantage, Medicaid, UnitedHealth, Aetna, Cigna, BCBS, and Tricare — prior auth updates, fee schedule changes, and denial trend alerts.
CPT Codes We Monitor
Every report covers the CPT codes most relevant to independent SLP practices, flagged by current audit risk level based on OIG Work Plan priorities and MAC enforcement data.
How It Works
Select your plan and complete checkout. No contracts, cancel anytime through your billing portal.
Complete a short intake form — your state, practice size, payers, and specialty areas (dysphagia, pediatric, AAC, etc.).
Within 24 hours, your personalized compliance intelligence report arrives in your inbox — tailored to your practice profile.
On the 1st of every month, an updated report lands with new enforcement signals, code changes, and payer updates.
Payers We Track
Pricing
Comprehensive Medicare billing compliance intelligence — personalized to your SLP practice.
Cancel anytime · No contracts · First report within 24 hours
What SLPs Are Saying
"I had no idea CMS had changed the qualified SLP definition until my first report flagged it. I would have been billing incorrectly for months. This service pays for itself with one avoided audit."SLP Practice Owner
"The KX modifier documentation section alone is worth the subscription. I was missing threshold documentation on nearly every claim and didn't know it. My denial rate has dropped significantly since I started getting these reports."CCC-SLP
"As a pediatric SLP billing both Medicare and Medicaid, the payer-specific breakdowns save me hours of research every month. I finally feel like I'm not guessing on modifier stacking."Pediatric SLP
Frequently Asked Questions
No. SLPBillingClarity provides general compliance intelligence for educational purposes only. We are not attorneys, not certified professional coders, and not a substitute for qualified healthcare compliance counsel. Our reports summarize publicly available regulatory information to help you stay informed — they do not constitute legal advice or billing advice. Always consult a qualified healthcare attorney or CPC for decisions specific to your practice.
CMS, OIG, and MAC bulletins are spread across dozens of sources, published in regulatory language, and rarely organized by specialty. SLPBillingClarity monitors all of these sources, filters for SLP-relevant changes, and delivers a plain-English summary tailored to your specific payers and state — on the 1st of every month.
No. We never ask for or receive any patient information, protected health information (PHI), or clinical records. Your intake form only captures your practice profile — your name, state, practice type, and payer mix. No HIPAA exposure.
Within 24 hours of completing your intake form. Your first report is generated based on your practice profile and current regulatory landscape. Monthly reports arrive on the 1st of every month after that.
Yes. No contracts, no cancellation fees. You can manage or cancel your subscription anytime through the Stripe billing portal link included in every report email. Cancellation takes effect at the end of your current billing period.
Neither. SLPBillingClarity is a compliance intelligence service — we monitor regulatory changes and deliver summarized, practice-specific updates for educational purposes. We don't file claims, conduct audits, or provide compliance consulting. We provide the information; you and your compliance team decide how to act on it.
SLPBillingClarity is built for licensed, ASHA-certified SLPs (CCC-SLP) who bill Medicare and Medicaid directly. If you're an SLPA working under supervision, the billing decisions are typically made by the supervising SLP — but understanding the compliance landscape can still help you document more effectively.
SLPBillingClarity monitors OIG Work Plan updates, MAC audit activity, and enforcement trends for SLP billing every month — so you can adjust before you're selected for review.
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