Mastering Speech Therapy Billing Codes: A Guide to Streamlined Medical Billing

In the healthcare industry, underpayments are a common issue that can significantly impact a provider's bottom line. These discrepancies occur when healthcare providers receive less reimbursement from insurance payers than what is actually owed. Resolving these underpayments is crucial for maintaining financial health and operational efficiency. With advancements in automation, healthcare organizations can now detect and resolve underpayments faster, more accurately, and with less manual intervention. In this blog, we’ll explore how automation is transforming revenue cycle management (RCM) for healthcare providers, specifically focusing on detecting and resolving underpayments.   Understanding Underpayments in Healthcare RCM What are Underpayments? Underpayments in healthcare occur when the reimbursement received by a provider is less than what was expected for services rendered. This can happen due to several factors, such as billing errors, discrepancies in payer data, ...

 In a specialty where every claim must justify medical necessity , and payer edits change without warning , providers cannot afford to rely on outdated billing systems. For Allergy & Immunology practices, revenue success now hinges on more than just clean claims—it requires proactive intelligence, real-time policy mapping, and specialty-grade automation . Enter iMagnum Healthcare. From Reactive to Predictive: The New Era of Allergy Billing Traditional billing systems treat claim submission as a final step. But in Allergy & Immunology, the battle for reimbursement begins much earlier —from verifying payer-specific LCDs to selecting the right testing code combinations. iMagnum redefines the billing lifecycle by: Turning coding rules into proactive edits Mapping payer behavior to submission strategy Using RPA and AI to adapt faster than manual teams ever could The result? Practices no longer chase denials—they prevent them . What...

  “Our claims were constantly denied, and the delays in authorizations were affecting therapy timelines. We needed more than a billing service—we needed a partner.” This is a common sentiment echoed by ABA therapy providers today, who face some of the most complex reimbursement workflows in healthcare. The Challenge: ABA Therapy’s Billing Burden ABA (Applied Behavior Analysis) therapy billing is anything but straightforward. Each service is time-based , often varies by state regulations, and demands real-time documentation and frequent authorizations . Add to that payer-specific coverage criteria and coding guidelines, and the risk of denials becomes a daily reality. Common Pain Points: Frequent denials due to improper use of CPT codes (e.g., 97151, 97153) Delays from authorization expiration or missed renewals Underpayments caused by imprecise time tracking Provider burnout from manual documentation and rework cycles For growing ABA practic...