Credentialing & payer enrollment
CAQH setup and upkeep, Medicaid MCO panel applications, and commercial payer enrollment for every provider and every location, tracked through to approval.
Billing & RCM for Pediatric Therapy
Texas Pediatric Therapy Billing Company for PT, OT & ST Practices
Aurora Advisory Group runs billing and revenue cycle management built specifically for Texas pediatric therapy clinics — Medicaid, STAR Kids, CHIP, and commercial payers, handled by a team that already knows the rules, the MCOs, and the deadlines.
- Texas Medicaid & STAR Kids
- CHIP
- Commercial payers
- Multi-discipline clinics
Texas pediatric billing
Pediatric therapy billing in Texas isn’t generic medical billing
Between Texas Medicaid fee-for-service, STAR and STAR Kids managed care organizations, CHIP, and a long list of commercial payers, pediatric PT, OT, and speech practices are working against a patchwork of authorization rules, re-auth windows, and timely-filing deadlines that generic billing companies weren’t built to track. One missed re-authorization or one denied claim isn’t just an error — it’s care your practice delivered for free.
What’s included
Everything a Texas pediatric therapy practice needs billed
Eligibility & benefits verification
Real-time coverage checks before each visit — copays, session limits, and plan-specific requirements confirmed so nothing gets delivered uncovered.
Prior authorization tracking
Authorization windows and re-auth deadlines monitored by payer, with documentation submitted ahead of expiration and units-remaining flagged in advance.
Claims & charge entry
Accurate, same-day charge capture with correct CPT, modifier, and unit rules applied for PT, OT, and speech billing codes.
Denial management & appeals
Every denial triaged, corrected, and appealed with supporting documentation — then tracked back to a root cause so it stops recurring.
Reporting & visibility
Clear revenue cycle reporting — claims out, claims paid, days in A/R, and denial trends — so you always know where the practice actually stands.
Texas payer expertise
Built around the payers Texas pediatric practices actually bill
Texas Medicaid & STAR / STAR Kids
Fee-for-service and managed care claims, MCO-specific rate and auth rules, and timely-filing deadlines tracked per plan.
CHIP
Coverage and billing rules handled alongside Medicaid for families moving between programs.
Commercial payers
BCBS of Texas, Aetna, Cigna, UnitedHealthcare, and other commercial plans, including auth requirements routed through third-party reviewers.
Who this is for
Built for pediatric PT, OT, speech, ABA, and PDN practices
- Pediatric physical therapy practices
- Pediatric occupational therapy practices
- Pediatric speech-language pathology practices
- Pediatric ABA practices
- Pediatric private duty nursing (PDN) practices
- Multi-disciplinary pediatric therapy clinics billing across specialties
- Practices anywhere in Texas — Dallas-Fort Worth, Houston, Austin, San Antonio, and beyond
How it works
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From consultation to steady collections
Free consultation
We review your current claims, denial rate, and payer mix to show exactly where revenue is being lost.
Onboarding & credentialing check
We confirm every provider’s payer enrollment status and fix any gaps before billing starts.
Billing takes over
Eligibility checks, charge entry, claims submission, and denial follow-up run on a fixed schedule.
Ongoing reporting
You get regular visibility into collections, A/R, and denial trends — no guessing.
FAQ
Frequently asked questions
Yes. We handle claims and authorization workflows for Texas Medicaid fee-for-service, STAR and STAR Kids managed care, and CHIP, alongside commercial payers like BCBS of Texas, Aetna, Cigna, and UnitedHealthcare.
We support pediatric physical therapy, occupational therapy, and speech-language pathology practices, including multi-disciplinary clinics that bill across several specialties under one roof.
Yes. We manage payer enrollment and CAQH upkeep from application through in-network approval, including Medicaid MCO panels, so new providers and new locations can start billing sooner.
We track authorization windows and re-authorization deadlines by payer, submit documentation ahead of expiration, and flag units-remaining so sessions never get delivered without active coverage.
Yes. Because billing is handled remotely, we support pediatric therapy practices anywhere in Texas, from Dallas-Fort Worth and Houston to Austin, San Antonio, and smaller markets.
In addition to OT, PT, and ST, we also bill for ABA and PDN services. If you have pediatric billing needs outside of this, please reach out to us and we can talk about a customized solution!
See what your practice is losing to billing errors
A free consultation shows your denial rate, aging claims, and payer-specific gaps — no commitment required.
Get a free consultation