Independent & Group Therapy Practices

Private-practice physical, occupational and speech therapy sits in a different Medicare lane from institutional providers: different enrollment form, different supervision rules, and a payer mix where commercial contract quality often decides the margin. We handle enrollment, compliance and contracting for practices from solo through multi-site.

What regulates you

• Medicare enrollment as a private practice, generally on the CMS-855B with CMS-855I and CMS-855R filings for individual practitioners and reassignments
• Supervision and delegation rules for PTAs, COTAs and assistants under your discipline’s board
• Texas Board of Physical Therapy Examiners, Texas Board of Occupational Therapy Examiners and TDLR rules for speech-language pathology
• Commercial payer medical policy, prior authorization and documentation requirements
• Texas Medicaid rules where you serve Medicaid clients

What we do for you

• Practice formation and Medicare, Medicaid and commercial enrollment
• Credentialing and CAQH maintenance for every practitioner
• Fee schedule analysis and rate renegotiation — the highest-yield work for most practices
• Documentation and medical necessity audits, with retraining tied to findings
• Compliance program design proportionate to practice size
• Policies and procedures, including supervision and delegation structures
• Support during commercial payer audits and additional documentation requests

Frequently asked questions

Our rates have not changed in years. Is that normal?

It is common, and it is not inevitable. Commercial agreements often renew silently at the same fee schedule indefinitely because nobody initiates the conversation. Whether a renegotiation is winnable depends on network adequacy in your specialty and county and on how the request is framed.

Should we enroll as a private practice or as a rehabilitation agency?

They are different provider types with different enrollment, supervision and survey consequences. The right answer depends on your service model, staffing and growth plan. This is worth modelling before filing, because changing later is costly.

How exposed are we to a documentation audit?

Therapy is a high-review service category, and the exposure concentrates in medical necessity, plan of care and minutes documentation. A baseline internal audit tells you where you stand before a payer tells you.

Related services

• Payer Contracting
• Provider Enrollment & Credentialing