Built for speech-language pathology practices

Documentation, billing, and compliance for SLP, in one system.

Speech-language pathology practices treat across a wider diagnostic range than any other therapy discipline. Articulation and language delays in children. Dysphagia and cognitive-communication disorders in adults. AAC device documentation. Medical SLP in skilled nursing and outpatient. Each population carries different documentation demands, payer rules, and billing requirements. StrataEMR is built for the breadth of what SLP practices actually treat.

Trusted by Hundreds of Physical, Occupational and Speech Therapy Clinics

  • Total Therapy Florida

    8 Locations

  • On The Go

    11 Therapists

  • Mobile Therapy Group

    18 Therapists

  • BlueRock

    3 Locations

  • High Desert

    4 Locations

  • Gravity

    6 Therapists

  • Omni PT

    5 Therapists

How it works

Built for the breadth of SLP, from pediatric articulation to adult dysphagia

Four places StrataEMR is built around what speech-language pathology practices actually treat.

Step 1

Documentation built for SLP scope, not borrowed from PT.

SLP documentation templates are discipline-scoped: articulation, language, dysphagia, AAC, cognitive-communication, voice, and fluency. Required selections inside each template enforce the clinical detail payers expect for that diagnosis. A dysphagia eval requires a penetration-aspiration scale rating, diet level, and medical necessity rationale before completion. An articulation eval requires stimulability and intelligibility ratings. The structure of the note matches what the discipline actually treats, not a PT template with the field labels swapped.

  • Discipline-scoped templates for each SLP population
  • Required selections enforced per template
  • CPT-aligned structure (92507, 92521, 92526, 92610)
SLP Documentation Templates Discipline-scoped
Articulation
Pediatric · 92507
Language
Pediatric · 92507
Dysphagia
Adult · 92526
AAC
Device · 92610
Cognitive-Communication
Adult · 92507
Voice
Adult · 92507
Fluency
Pediatric & adult · 92521
E. Whitaker, age 72 · Dysphagia Eval CPT 92526
Required selections
Penetration-aspiration scale Diet level Med necessity rationale Goals updated

Step 2

Pediatric and adult populations in the same system.

Pediatric SLP and adult medical SLP run inside the same EMR with the same workflow. Guardian patient portal handles intake, balance alerts, and appointment reminders for pediatric patients while keeping the chart in the guardian's name on file. Adult patients run on the standard patient portal. Medicare Part B, commercial, Medicaid, and school-based payers all coexist on the same patient roster. There is no separate pediatric module to license and no separate adult module to license.

  • Guardian portal for pediatric intake and engagement
  • Adult patient portal for self-managed patients
  • Same chart, same scheduling, same billing across populations
LP
L. Park, age 6
Guardian: A. Park
Population
Pediatric · Articulation
Payer
Maple County Schools
Guardian portal
Active · Intake submitted
Intake
Completed by guardian
EW
E. Whitaker, age 72
Self-managed
Population
Adult · Dysphagia
Payer
Medicare Part B
Therapy cap
64% used ($1,490 / $2,330)
KX threshold
Tracker on · alert at $2,150
Same practice. Same workflow.

Step 3

Medicare compliance on every adult SLP claim.

StrataEMR's direct Medicare EDI connection auto-verifies benefits when policies are saved and tracks the therapy cap across the year. The KX modifier threshold is monitored automatically and surfaced as an alert before the cap crosses. Certifying provider NPI is captured on every adult Medicare patient. Plan of Care recertification windows surface as tasks before they expire. Adult SLP carries the same Medicare compliance machinery as adult PT, configured for SLP CPT codes and SLP-specific medical necessity standards.

  • Direct Medicare EDI connection for SLP
  • Therapy cap and KX modifier tracking per patient
  • Plan of Care recertification surfaced as a task
EW
E. Whitaker, age 72 · Dysphagia
Medicare Part B · Direct EDI
Active
Therapy cap progress
$1,490 / $2,330 (64%)
KX threshold
Monitor on
Alert at $2,150
Cert provider NPI
Dr. R. Patel
1234567890
Tasks
Recertification
Plan of Care recerts in 38 days
Due 6/27
Apply KX modifier
When cap crosses $2,150
Auto

Step 4

Multi-payer billing without a separate billing team.

The StrataPT billing team works inside the EMR across every payer category SLP practices touch: Medicare Part B, commercial, Medicaid managed care organizations, and school-based payers. Pending charges, denial follow-up, appeals, and ERA posting happen in the same system clinicians document in. ERA posting runs within 24 hours of remittance. The Clarity Panel gives owners a per-patient view of charges, payments, adjustments, and outstanding balance across the full payer mix.

  • In-house billing team across Medicare, commercial, Medicaid, school-based
  • ERA posting within 24 hours of remittance
  • Clarity Panel per patient across the practice
Pending Claims 11
E. Whitaker
92526
Medicare Part B
Pending
L. Park
92507
Maple Cnty Schools
Posted
J. Alvarez
92521
BCBS Commercial
Pending
N. Davis
92507
Anthem Medicaid MCO
Posted
Clarity Panel
L. Park, age 6
Articulation · Maple County Schools
Charges
$1,820
Payments
$1,640
Adjustments
$135
Balance
$45
ERA posted within 24h

What's in the workflow

Every SLP touchpoint, covered

Discipline-scoped templates, pediatric and adult workflows, Medicare-direct billing, and an in-house billing team in one platform.

SLP-scoped templates

Discipline-scoped templates for articulation, language, dysphagia, AAC, cognitive-communication, voice, and fluency. Required selections enforce the clinical detail each diagnosis needs.

Pediatric and adult patient management

Pediatric and adult SLP patients live on the same roster with the same workflow. Guardian portal for pediatric, standard portal for adult, one schedule and one billing pipeline.

Direct Medicare connection

EDI connection to Medicare for eligibility and claims. Benefits auto-verify on policy save. Therapy cap and KX modifier track automatically for adult SLP patients.

Document completion gating

Notes cannot be marked complete without an active policy, completed benefits, authorization on file when required, and certifying provider NPI on Medicare patients.

Authorization and visit limit tracking

Authorization counts, visit limits, and expiration dates tracked per policy. School-based and Medicaid MCO authorization rules captured at the payer level, not in someone's memory.

Guardian patient portal

Guardian completes intake, receives appointment reminders, and gets balance alerts for pediatric patients. Chart stays in the guardian's name on file with the patient as the case.

Daily note auto-cloning

Routine treatment appointments auto-clone the most recent General Document to the current date of service. Clinicians document what changed, not what stayed the same.

StrataPT billing team

Billing staff work inside the EMR across Medicare, commercial, Medicaid MCO, and school-based payers. Pending charges, denial follow-up, appeals, and ERA posting in one platform.

Full capability set

One platform. Built for speech-language pathology.

Everything below is included. No per-user fees. No per-location pricing.

SLP documentation

  • · Articulation templates
  • · Language templates
  • · Dysphagia templates
  • · AAC device documentation
  • · Cognitive-communication templates
  • · Voice templates
  • · Fluency templates
  • · Required selections per template
  • · Outcome measures

Pediatric SLP

  • · Guardian patient portal
  • · Guardian-completed intake
  • · Appointment reminders to guardian
  • · Balance alerts to guardian
  • · School-based payer support
  • · Same chart across populations

Adult and medical SLP

  • · Medicare Part B workflow
  • · Therapy cap tracker
  • · KX modifier threshold monitoring
  • · Certifying provider NPI tracking
  • · Plan of Care recertification tasks
  • · Skilled nursing and outpatient settings
  • · Dysphagia and cognitive-communication scope

Authorization management

  • · Authorization tracking per policy
  • · Visit limits
  • · Authorization expiration tasks
  • · School-based payer rules
  • · Medicaid MCO authorization rules
  • · PCP referral tracking

Compliance and completion

  • · Document completion blocks
  • · Required selections per template
  • · Staff Type per discipline
  • · Amendment history with versioning
  • · Two-factor authentication
  • · Inactive staff status preserves history

Billing and RCM

  • · StrataPT billing team
  • · Clarity Panel per patient
  • · Pending Charges
  • · Accounts Receivable
  • · ERA posting within 24 hours
  • · Denial follow-up and appeals
  • · Multi-payer claim routing
  • · Credentialing holds per payer

Reporting

  • · Schedule Analytics
  • · Visit Totals
  • · Payer Analysis
  • · Average Reimbursement by Payer and CPT
  • · Charge Losses
  • · Patient Balance
  • · Referring Provider
  • · Patient Discharge

Permissions

  • · Front Desk
  • · Clinical Staff
  • · Therapy Director
  • · Practice Administrator
  • · Business Owner
  • · Limit Financial Features modifier
  • · View Only Own Schedule modifier
  • · Prevent Document With Billable Charges Completion

FAQ

Common questions from SLP practices

Every patient population. Every payer. One system.

See how StrataEMR runs pediatric and adult SLP across commercial, Medicaid, Medicare, and school-based billing.