Speech & Audiology Billing & RCM
Speech & Audiology billing and revenue cycle, 50-state coverage.
Speech-language pathology and audiology billing services from ASP-RCM Solutions. 31,841 NPPES speech / audiology billing providers across all 50 states + DC. BHCOE channel partner. HIPAA + SOC 2 Type II compliant. Senior partners on every account.
What good speech / audiology billing execution looks like.
The operating discipline we install on every speech / audiology billing engagement.
- 8-minute rule + timed SLP code billingSLP treatment billing follows Medicare 8-minute rule for timed codes. Accurate time tracking is foundational.
- GN modifier discipline for SLPAll SLP services bill with GN modifier identifying speech-language pathology discipline.
- Plan of Care + recertification cycleMedicare requires physician-signed Plan of Care every 90 days for SLP. Recertification timing must be tracked.
- KX modifier above therapy thresholdSLP shares therapy threshold with OT ($2,330 in 2025 combined). KX modifier and supporting documentation required above threshold.
- Audiology evaluation + hearing aid billingAudiology evaluations (92550-92588) and hearing aid fitting / dispensing (V5010-V5299, plus state-specific) require distinct workflow.
- Pediatric SLP + EPSDT / school-basedyour state pediatric SLP may bill your state Medicaid program EPSDT, school-based services, ABA-adjacent communication services, or commercial. Each requires distinct workflow.
Top speech / audiology billing markets by NPPES org count.
State-level RCM guides for the largest speech / audiology billing markets in the U.S.