Extra Mile Billing

Extra Mile Billing Billing support, forensic billing, tech & management consulting for pediatric, speech, physical, and occupational therapy practices.

Tallahassee is pulling a “special session” overtime, and the stakes couldn’t be higher for Florida providers. With a $52...
05/15/2026

Tallahassee is pulling a “special session” overtime, and the stakes couldn’t be higher for Florida providers. With a $52B budget deal on the table and a $1.4B gap to bridge, the landscape is shifting fast.

CMS just officially labeled Florida a “hot spot” for fraud, and arrests are already being made. Between pediatric therapy funding shifts and increased oversight, “business as usual” is a massive risk. We’re leaning into our SPOT framework: Systems, Processes, Oversight, and Technology: to keep our clients audit-ready and revenue-secure.

Check out the full breakdown on our blog at extramilebilling.com!

Running a practice is a heavy lift. Between the credentialing, the endless Medicaid paperwork, and those midnight admin ...
05/13/2026

Running a practice is a heavy lift. Between the credentialing, the endless Medicaid paperwork, and those midnight admin marathons, it’s easy to feel like you’re just keeping your head above water.

But take a second to look at the real-life wins. That patient who took their first steps or the family that finally feels heard: that’s your legacy. You’re building something that truly matters.

On the hard days, remember: you’re doing better than you think, and you aren’t alone in this mission. We see your grit. Keep going. ✨

To the practice owner staring at a stack of charts at 7:00 PM: we see you.The admin work is heavy. The late nights feel ...
05/11/2026

To the practice owner staring at a stack of charts at 7:00 PM: we see you.

The admin work is heavy. The late nights feel invisible. But that patient who finally walked without pain today? That child who just found their voice? That is your legacy.

You aren’t just "managing a business." You are building a sanctuary for healing in your community. Take a breath today and remember: your impact is deeper than any spreadsheet could ever show.

We’re just here to remind you that you’re doing incredible work. Keep going.

Scaling your therapy practice shouldn't feel like a treadmill. If your solution to growth is always "more patients," you...
05/08/2026

Scaling your therapy practice shouldn't feel like a treadmill. If your solution to growth is always "more patients," you're building a burnout factory, not a business.

In our latest SPOT Growth Podcast roundtable finale, we break down the systems and strategies that drive sustainable growth. It’s about building structure, tracking the right metrics, and aligning your team around clear goals.

Stop chasing volume and start building structure.

Check out the SPOT Growth podcast today wherever you listen to Podcasts!

Front desk turnover... isn't a people problem. It’s a culture problem. 📉High turnover is the invisible leak in your clin...
05/07/2026

Front desk turnover... isn't a people problem. It’s a culture problem. 📉

High turnover is the invisible leak in your clinic's bucket. Every time a team member walks out, you lose patient trust, continuity of care, and cold hard cash.

The secret weapon for 2026 growth? Investing in the humans you already have.

Catch the full breakdown on the SPOT Growth podcast this Friday: "Common Growth Mistakes Therapy Practice Owners Must Avoid."

Don't miss the drop! 🎧

Front desk turnover... isn't your biggest leak. It’s the RTM reimbursement you're leaving on the table.The "Goldilocks Z...
05/04/2026

Front desk turnover... isn't your biggest leak. It’s the RTM reimbursement you're leaving on the table.

The "Goldilocks Zone" is finally here for 2026. Under the new CMS Final Rule, the 16-day data hurdle is gone.

- CPT 98985: Now requires only 2-15 days of data.
- Game-changer: Capture revenue for short-term patients.
- Result: Higher PT revenue + better patient engagement.

Don't let rigid 16-day requirements kill your digital health scaling. 2 days is the new standard.

Tallahassee is pulling an all-nighter, and your practice is footing the bill. ☕️Florida is currently staring down a $1.4...
05/01/2026

Tallahassee is pulling an all-nighter, and your practice is footing the bill. ☕️

Florida is currently staring down a $1.4B budget gap with a May 12 deadline looming. The real alarm? The ‘ABA shift’ could divert critical funding away from routine pediatric therapy. If you aren't watching these numbers, you're flying blind into a revenue storm.

📌 The $1.4B Budget Gap
📌 The May 12 Deadline
📌 ABA Funding Shift Risks
📌 Public Assistance Fraud Task Force alert

Don't get caught in the crossfire. Check your SMMC transition paperwork now to avoid June denials.

Read the full breakdown: https://extramilebilling.com/?p=448

Modifier errors aren’t just "clerical" mistakes: they are 2026 revenue killers. 💸Most practices are leaving money on the...
04/29/2026

Modifier errors aren’t just "clerical" mistakes: they are 2026 revenue killers. 💸

Most practices are leaving money on the table because of simple modifier slips. Are you making these 7 common mistakes?

✨ KX threshold mismanagement
✨ CQ/CO pairing traps
✨ Missing the new ST/HM game-changers:
- ST: Specialized trauma care or supervised student sessions.
- HM: Staff with less than a Bachelor’s degree.

Payers are now using these to tier payments: or deny claims entirely. We’re breaking down exactly how to fix your workflows before the 2026 shift hits.

READ THE BLOG: https://extramilebilling.com/?p=443

Let’s be honest…A lot of SPOT clinics aren’t struggling with demand — they’re struggling with what happens after the vis...
04/27/2026

Let’s be honest…

A lot of SPOT clinics aren’t struggling with demand — they’re struggling with what happens after the visit.

👉 Claims sitting
👉 Authorizations slowing everything down
👉 Payments delayed or denied
👉 No clear picture of what’s actually coming in

You’re working hard… but the systems behind the scenes aren’t keeping up.

That’s exactly where we come in. At Extra Mile Billing, we help you clean up your billing, tighten your processes, and actually turn your visits into consistent revenue.

If you’re not sure where things are breaking down, we made something simple for you 👇

Take our quick 2-minute assessment and get clarity on where your biggest gaps are:
https://extramilebilling.com/billing/

Scaling a practice isn't just about hiring more hands: it’s about avoiding the compliance headache that follows. Moving ...
04/22/2026

Scaling a practice isn't just about hiring more hands: it’s about avoiding the compliance headache that follows. Moving from Clinician to CEO means mastering the SLPA supervision dance. That 90-day intensive phase? It’s your safety net, not a suggestion. If you aren't hitting the 60-day rule or tagging the ST modifier correctly, you’re leaving money on the table. Tallahassee might be a mess with the current budget gap, but your compliance shouldn’t be. Check out Penny’s SLPA Supervision Survival Guide to scale safely.

Read more: https://extramilebilling.com/?p=438

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