Wellness Works Medical Billing
Insights

Billing wisdom, billed at no charge.

Plain-language guides on occupational, physical, and speech therapy billing — the questions practice owners ask us most.

Occupational Therapy

Medical Billing for Occupational Therapy Practices: What Owners Need to Know

A plain-language guide to occupational therapy billing: CPT codes, evaluation complexity, the 8-minute rule, authorizations, and the denials that cost OT practices the most.

Read · 8 min
Physical Therapy

Physical Therapy Billing: The Guide to Getting Paid for the Care You Deliver

Physical therapy billing explained: evaluation codes, KX modifier, therapy thresholds, plan of care certification, and how PT practices reduce denials.

Read · 9 min
Speech Therapy

Speech Therapy Billing: Codes, Common Denials, and How to Fix Them

Speech-language pathology billing guide covering 92507, 92523, 92526, untimed codes, pediatric Medicaid authorizations, and the denials SLP practices see most.

Read · 7 min
Revenue Cycle

Outsourced vs. In-House Billing for Therapy Practices: An Honest Comparison

Should your OT, PT, or speech therapy practice outsource medical billing or keep it in-house? The real costs, risks, and questions to ask a billing partner.

Read · 7 min
Revenue Cycle

How to Reduce Claim Denials in Your Therapy Practice

Practical steps OT, PT, and speech therapy practices can take to prevent denials: front-end eligibility, clean documentation, daily claim scrubbing, and fast follow-up.

Read · 6 min
Revenue Cycle

The Revenue Cycle KPIs Every Therapy Practice Owner Should Track

Days in A/R, clean claim rate, denial rate, net collection rate and more — the billing metrics that tell OT, PT, and speech practice owners how healthy their revenue really is.

Read · 6 min
Revenue Cycle

Good Faith Estimates for Therapy Practices: A Plain-Language Guide

What OT, PT, and speech therapy practices need to know about Good Faith Estimates under the No Surprises Act — who needs one, when, and how to stay compliant.

Read · 5 min
Revenue Cycle

7 Signs Your Therapy Billing Company Is Costing You Money

Rising A/R, no visibility, rotating staff, and surprise write-offs. Seven warning signs your OT, PT, or speech therapy billing company isn't working — and what to do next.

Read · 5 min
Medicare & Compliance

The 2026 Medicare Therapy Threshold and KX Modifier, Explained

The 2026 Medicare KX modifier threshold is $2,480 for PT and speech combined, and $2,480 for OT. Here's what it means, when to append KX, and when an ABN applies.

Read · 7 min
Medicare & Compliance

The 8-Minute Rule vs. the Substantial Portion Rule: Which Applies to Your Claims?

CMS's 8-minute rule and the AMA's substantial portion (midpoint) rule count timed therapy units differently. Learn which payers follow which, with examples.

Read · 6 min
Medicare & Compliance

Therapy Billing Modifiers: GP, GO, GN, 59, X, KX, CQ and CO

A plain-language guide to the modifiers OT, PT, and speech practices use most — what each means, when it's required, and the mistakes that trigger denials.

Read · 7 min
Revenue Cycle

The Denial Codes Therapy Practices See Most — and How to Fix Each

CO-16, CO-29, CO-50, CO-97, CO-197, PR-204 and more. What each claim adjustment reason code means for OT, PT, and speech practices and how to prevent it.

Read · 8 min
Financial Operations

The 97% in 30 Days Rule: Using Trailing KPIs to Run a Healthier Practice

Brandon Seigel's benchmark: 97% of primary-payer collections within 30 days of service. How to use trailing KPIs with response protocols to manage revenue.

Read · 6 min
Financial Operations

Cash Flow for Therapy Practices: Why Your Bank Balance Can Mislead You

How OT, PT, and speech practice owners should read cash flow, why cash vs. accrual matters in healthcare, and the billing lag traps that lead to bad decisions.

Read · 6 min
Financial Operations

Separate Accounts, Clean Books: Financial Hygiene for Therapy Practice Owners

Why Brandon Seigel separates insurance and private-pay revenue into different accounts, and how consistent expense tracking supports audits and planning.

Read · 5 min
Medicare & Compliance

Plan of Care Certification for Medicare Therapy Patients

When a Medicare therapy plan of care must be certified and recertified, what counts as a delayed certification, and how missing signatures lead to recoupments.

Read · 5 min
Occupational Therapy

Pediatric Therapy and Medicaid Authorizations: Stop Losing Visits

How pediatric OT, PT, and speech practices can manage Medicaid and managed Medicaid authorizations, re-authorizations, and eligibility changes without write-offs.

Read · 6 min
Revenue Cycle

Therapy Coding Audits: What They Are and Why Your Practice Needs One

How AAPC-certified coding audits help OT, PT, and speech practices catch under-coding, unsupported units, and modifier errors before payers do.

Read · 5 min
Revenue Cycle

Timely Filing Limits: The Deadline That Quietly Costs Practices Thousands

Medicare's one-year filing limit, shorter commercial deadlines, and why daily claim submission is the simplest protection against CO-29 denials.

Read · 4 min
Financial Operations

Patient Collections Without Phone Calls: Protecting Revenue and Relationships

How therapy practices can collect patient balances with clear estimates, card-on-file policies, and written communication — without collection calls.

Read · 5 min
Revenue Cycle

The Insurance Verification Checklist Every Therapy Practice Needs

A step-by-step insurance verification checklist for OT, PT, and speech therapy intake: demographics, eligibility, network status, benefits, visit limits, and authorizations.

Read · 8 min
Revenue Cycle

Eligible but Not Paid: Eligibility vs. Benefits vs. Authorization

Why an active insurance policy doesn't mean therapy will be paid. The difference between eligibility, benefits, and prior authorization for OT, PT, and speech.

Read · 5 min
Speech Therapy

Prior Authorization and Medical Necessity for Pediatric Therapy

What to include in a prior authorization request for pediatric OT, PT, and speech: evaluations, goals, CPT codes and units, supporting letters, and re-authorization timing.

Read · 6 min
Revenue Cycle

Revenue Cycle Management for Therapy Practices: A Plain-English Guide

What revenue cycle management (RCM) means for physical, occupational, and speech therapy practices — every step from intake to paid claim, and where money leaks.

Read · 7 min
Revenue Cycle

How to Choose a Medical Billing Company for Your Therapy Practice

A practical checklist for PT, OT, and speech therapy owners comparing medical billing companies: staffing, transparency, pricing, contracts, and red flags.

Read · 6 min
Financial Operations

A/R Aging for Therapy Practices: How to Read It and Fix It

How physical, occupational, and speech therapy owners can read an accounts receivable aging report, spot trouble buckets, and bring A/R down.

Read · 6 min
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