Teaching · Speech & Language

Code, papers and status for every claim, in one place.

Enter the service, codes, telehealth details and the documents in the file, then track the claim. The summary checks place of service and modifiers, lists what is missing, explains the next step for a denial and reconciles the payment.

Start a claimWhat you get
$12one-time · every device you sign in on
Buy · $12

Included with Caveat Classroom and Whole-school licenses. Or get it in the Speech & Language toolkit, $79 for 72 items.

The claim record

One record per client and date of service. Use a client code, never a name. The example is made up.

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What you get

Teaching · Speech & Language$12 · included with Classroom and Whole-school licenses

What you finish with
For each claim, a description of the service and codes, coding and filing checks, missing documents, the next step for a denial and a payment reconciliation.
Who it is for
Speech-language pathologists in private practice and the staff who submit and follow up on their insurance claims.
Format
Browser record kept from the session to payment. Several saved claims per client; printed as a claim file sheet or blank; CSV of all claims; export and import a file.
Access
$12 one-time, yours on every device you sign in on; the tool opens once you are signed in with it. Included with Caveat Classroom and Whole-school licenses. Also in the Speech & Language toolkit ($79) and the Teaching Suite pass ($199), and 1 more bundle. Everything you type stays in this browser; nothing is sent to Caveat.
Where it lives
The Speech & Language space in Caveat Teaching.
Support
Questions about an order, access or a correction: team@caveatacademic.com.
right code, right papers, paid once
Drawn for this page. A claim is paid when the code, the diagnosis, the place of service and the documents all agree.

How to use it

  1. Start a record with a client code and the date of service.
  2. Enter the payer, CPT and diagnosis codes, and telehealth details.
  3. Check the documents in the file.
  4. Track the claim as it is submitted, paid or denied.
  5. Follow the next step for a denial and reconcile the payment.

Start a claim

What the organizer is for

Everything has to agree

A claim is paid when the service code, the diagnosis, the place of service, the modifiers and the documentation tell the same story. Most denials come from one piece that does not match or one paper that is missing.

Telehealth

Telehealth claims usually need a telehealth place of service (02, or 10 for the patient’s home) and often modifier 95. Rules differ by payer and have changed often since 2020; check each payer’s current policy.

What this is not

This is a documentation aid, not billing or coding advice. Code descriptions here are short paraphrases; use the current CPT and ICD-10-CM code sets.

Sources

  1. American Speech-Language-Hearing Association, Billing and Reimbursement: CPT codes for speech-language pathology (92507 to 92526, 92610) and coding resources.
  2. Centers for Medicare and Medicaid Services, Place of Service Code Set (02 and 10 for telehealth) and Medicare Benefit Policy Manual, chapter 15 (outpatient therapy, GN and KX modifiers).
  3. Centers for Medicare and Medicaid Services, Medicare Claims Processing Manual, chapter 1 (filing within 12 months of the date of service).
  4. Centers for Disease Control and Prevention, National Center for Health Statistics, ICD-10-CM code set.

The example client and claim are made up. This is not billing or coding advice; payers’ rules differ. Support: team@caveatacademic.com.