What features does ST billing software need for a home health contract agency?

An ST contract therapy agency needs: real-time visit logging from SLPs in the field, per-visit-type ST rates configured per home health agency, automatic invoice generation per agency, HIPAA-compliant invoice delivery, integrated 1099 SLP payroll calculated from the same visit data, direct contractor payment processing, and re-eval/cert period tracking. Most general billing tools and clinic ST EMRs miss several of these.

Speech Therapy Billing Software
Built for Home Health ST Contract Agencies.

Q: What is the best speech therapy billing software for a home health ST contract agency?

HomeHealthSync is built specifically for the home health ST contract therapy agency model — agencies that contract 1099 SLPs and place them with home health companies. It handles per-agency ST visit rates (eval, swallow eval, regular visit, re-eval, discharge), automated multi-agency invoicing, HIPAA-compliant delivery, integrated 1099 SLP contractor payroll, and direct Stripe payments. Outpatient ST clinic EMRs are built for insurance claims — a different model.

Q: Why is speech therapy billing different in home health vs in a clinic?

In an outpatient clinic, an SLP bills Medicare or commercial insurers directly using CPT codes for each session. In home health, your ST contract agency invoices the home health company that placed your SLP, per visit at a contracted rate — not the insurer. ST episodes in home health are also often shorter (sometimes just a swallow eval plus a few follow-ups), so per-visit billing accuracy matters more than monthly subscription billing. Different model, different software needs.

Q: Does HomeHealthSync handle home health ST workflows like swallow evals and cognitive-communication visits?

Yes — at the billing and payroll level. You configure per-agency rates for ST visit types (eval, swallow eval, regular visit, re-eval, discharge), and each SLP visit gets billed and paid at the right rate automatically. HomeHealthSync isn't a clinical EMR — it doesn't document treatment notes or store FEES results — but it makes sure the billing and contractor payroll for every type of ST visit flows correctly to the right home health agency and the right SLP.

Q: Can I use HomeHealthSync if I run an outpatient SLP clinic or pediatric speech practice?

No — and we'll tell you that upfront. HomeHealthSync doesn't submit insurance claims, doesn't handle CPT coding, and isn't built for clinic-based pediatric SLP practices. For that, a tool like SimplePractice, TheraPlatform, or a comparable SLP clinic EMR is the right fit. HomeHealthSync is specifically for ST contract therapy agencies that bill home health companies per visit.

Q: How much does ST contract therapy billing software cost?

HomeHealthSync is $60/month for up to 8 active SLPs (or mixed PT/OT/ST therapists) or $149/month for unlimited therapists. Both plans include visit tracking, multi-agency billing, HIPAA-compliant invoice delivery, integrated 1099 contractor payroll, direct Stripe payments, and 1099-NEC tracking. No per-user fees, no setup costs. 30-day free trial, no credit card required.

Bill home health companies per SLP visit — eval, swallow eval, regular visit, re-eval, discharge. Run 1099 SLP contractor payroll off the same visit data. Multi-agency, HIPAA-compliant, transparent flat pricing. Built for the home health ST contract model, not for outpatient SLP clinics chasing insurance claims.

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30-day free trial · No credit card · Setup in under 10 minutes

Why I built this

I'm a home health PT who ran a contract therapy agency placing PT, OT, and ST contractors with home health companies. ST has its own quirks — shorter episodes, swallow-focused evals, lower visit volume per patient — and it was constantly the discipline that got short-changed by tools built around PT-clinic workflows. HomeHealthSync treats ST as a first-class discipline, with its own per-agency rates and per-SLP payroll.

Andrew C., PT, DPT

Founder, HomeHealthSync

Two Very Different Kinds of "Speech Therapy Billing Software"

"Speech therapy billing software" describes two very different markets. Picking the right category matters more than picking the right tool within a category.

1. Outpatient SLP Clinic Insurance Billing

Built for SLP clinics and pediatric speech practices billing Medicare and commercial insurers — CPT coding, claim scrubbing, ERA posting, prior authorizations, often telehealth integration. Examples: SimplePractice, TheraPlatform, pediatric SLP-specific EMRs. If you run a clinic billing insurance, this is your category — HomeHealthSync isn't.

2. Home Health ST Contract Therapy Agency Billing

Built for therapy vendors and agencies that contract 1099 SLPs and place them with home health companies. The agency invoices each home health company per ST visit at a contracted rate, then pays each SLP from the same data. Features: per-agency ST rate matrices, multi-agency invoicing, integrated 1099 SLP contractor payroll, HIPAA-compliant invoice delivery. This is what HomeHealthSync is built for.

A pediatric SLP clinic and a home health ST contract agency have almost nothing in common operationally — and the tools that serve each are fundamentally different categories of software.

The ST Contract Therapy Workflow (and Why It's Different from PT/OT)

The ST contract workflow looks similar to PT and OT structurally, but has some discipline-specific quirks worth designing around:

ST episodes in home health are often shorter — a swallow eval plus a few follow-ups, or a cognitive-communication block
SLP visit volume per patient is typically lower than PT/OT — which means per-visit billing accuracy matters more (you can't average out errors over many visits)
SLPs in home health may carry smaller patient panels but split across more home health agencies
Per-agency rates for ST often differ from PT and OT within the same home health company
Documentation requirements vary — ST evals (esp. swallow) may require specific documentation that the home health agency uses, even though your contract agency isn't doing the clinical EMR work

Any tool you use needs to treat ST as a first-class discipline with its own rate structure — not as a footnote behind PT.

Why Generic Tools Don't Fit ST Contract Agencies

Tool 01

SimplePractice / TheraPlatform

Built for solo SLPs and pediatric clinics billing insurance — CPT codes, telehealth, scheduling, superbills. None of that applies to billing home health agencies per visit. No multi-agency rate matrix, no 1099 SLP payroll.

Tool 02

QuickBooks / FreshBooks

Invoice generation only — no way to collect ST visit data from the field, no per-visit-type rate engine, no HIPAA-compliant delivery, no contractor payroll. Manual everything before QB touches it.

Tool 03

WellSky / Kinnser

Enterprise EMR built around Medicare-certified home health agencies — OASIS, PDGM, EVV. Overkill and built for a different model than a contract therapy agency placing 1099 SLPs.

Tool 04

Spreadsheets + Email

Manual ST visit tracking, manual rate lookup, manual SLP payroll math, no HIPAA-compliant invoicing. Works for 2–3 SLPs. Falls apart at scale and ST re-eval dates always slip through.

What Speech Therapy Billing Software Needs (for a Contract Agency)

Feature 01

SLP Visit Logging from the Field

SLPs log visits from phone or browser right after the visit — date, patient, ST visit type (eval, swallow, regular, re-eval, discharge), home health agency. Captured at the source.

Feature 02

Per-Agency ST Rate Matrix

Each home health company has its own ST rates per visit type — and they often differ from PT/OT rates. Configured once per agency; applied automatically to every ST visit going forward.

Feature 03

Discipline-Specific Visit Types

ST eval, swallow eval, regular visit, re-eval, discharge — each with its own configurable rate. Not lumped into a generic "therapy visit" bucket.

Feature 04

Multi-Agency Invoicing

Close a billing cycle and one invoice generates per home health agency — itemized by SLP, visit date, and visit type. No manual building per cycle.

Feature 05

Integrated 1099 SLP Payroll

Each SLP's pay calculated automatically from the same visit data driving invoicing. No re-entry, no parallel payroll sheet, no reconciliation when SLP episodes are short and frequent.

Feature 06

Direct Contractor Payments + 1099-NEC Tracking

Pay SLPs via Stripe ACH from inside the platform. Every payment logged for January 1099-NEC reporting — no year-end reconstruction.

HomeHealthSync vs the Common Alternatives — For an ST Contract Agency

SLP visit logging from the field

✓ Built in

✗ Clinic-scheduled

Per-agency ST rate matrix

✓ Per agency & visit type

✗ Not designed for it

ST visit-type granularity

✓ Eval / swallow / visit / discharge

Generic CPT codes

Multi-agency invoicing

✓ One click per cycle

Manual build

Integrated 1099 SLP payroll

✓ From same visit data

✗ Separate tool

HIPAA-compliant invoice delivery

✓ Secure portal

✗ Email attachments

Insurance claim submission (CPT)

✗ Not the model

✓ Clinic tools excel here

Pricing

$60–$149/mo flat

$49+/mo (clinic) or DIY

What It Costs

Starter

$60

/month

Up to 8 active therapists

Visit tracking · Auto invoicing · Multi-agency billing · 1099 SLP payroll · Stripe payments · HIPAA-compliant delivery · 30-day re-eval tracking

Growth
$149
/month
Unlimited therapists
Everything in Starter · Unlimited SLPs (and PTs/OTs) · Unlimited home health agencies · Priority support

30-day free trial, no credit card required. Flat pricing — no per-user fees that scale with your SLP roster.

Want to see this running for your ST agency?

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★★★★★

“The invoices are automated so that saves me hours of work between 6 agencies we work with. It also auto-calculates certification periods and 30-day re-evals for therapists — a huge help for staying compliant. Also very mobile friendly!”

Rosie M.

Agency Admin · Managing 6 Agencies

★★★★★

“Our admin staff loves it and reports it’s much better than the Excel system we had before. I like it a lot too. Of course there’s a small learning curve, but overall I’m happy with the purchase!”

Luis

Therapist & Agency Owner

Who This Is — and Isn't — For

HomeHealthSync is the right fit if you:

Run a therapy agency that contracts 1099 SLPs (alone or alongside PTs/OTs)
Place those SLPs into home visits with home health companies
Bill those home health companies per visit at contracted rates
Pay SLP contractors per visit, not by salary
Need HIPAA-compliant invoice delivery + 1099-NEC tracking

HomeHealthSync is NOT the right fit if you:

Run an outpatient SLP clinic or pediatric speech practice billing insurance (use SimplePractice, TheraPlatform, or a comparable SLP clinic EMR)
Need a clinical EMR with CPT coding, treatment notes, prior auth tracking
Are a solo SLP in private practice billing insurance directly
Operate a Medicare-certified home health agency needing OASIS / PDGM (use WellSky)

ST Billing That Treats Your Discipline as First-Class

Not bolted onto PT software. Not a generic "therapy" bucket. Built around the ST contract therapy workflow specifically.

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Frequently Asked Questions

What is the best speech therapy billing software for a home health ST contract agency?

HomeHealthSync — purpose-built for the model. Per-agency ST visit rates, automated multi-agency invoicing, HIPAA-compliant delivery, integrated 1099 SLP payroll, and direct Stripe payments. Clinic SLP tools like SimplePractice serve a different model (insurance billing).

Why is speech therapy billing different in home health vs in a clinic?

In a clinic, the SLP bills insurers directly with CPT codes. In home health, your contract agency invoices the home health company that placed your SLP, per visit at a contracted rate. Different counterparty, different workflow, different software needs.

Does HomeHealthSync handle home health ST workflows like swallow evals and cognitive-communication visits?

Yes, at the billing and payroll level. You configure per-agency rates for each ST visit type. HomeHealthSync isn't a clinical EMR — it doesn't store treatment notes — but it makes sure every ST visit type bills and pays correctly.

What features does ST billing software need for a contract agency?

Visit logging from the field, per-agency per-visit-type rate matrix, automated multi-agency invoicing, HIPAA-compliant delivery, integrated 1099 SLP payroll, direct contractor payments, and re-eval tracking.

Can I use HomeHealthSync if I run an outpatient SLP clinic or pediatric speech practice?

No — we'll tell you that upfront. For clinic insurance billing, SimplePractice, TheraPlatform, or a comparable SLP clinic EMR is the right fit.

How much does ST contract therapy billing software cost?

$60/month for up to 8 active therapists or $149/month for unlimited. Both plans include visit tracking, multi-agency billing, HIPAA-compliant delivery, 1099 contractor payroll, direct Stripe payments, and 1099-NEC tracking. 30-day free trial, no credit card.