Confident insurance billing for speech, occupational, & physical therapy practices—without the overwhelm.
INSURANCE 101 for Private Practice
Are you tired of feeling lost in the insurance maze?
You started your practice to help kids, not to feel lost in payer rules, acronyms, denials, and paperwork.
If insurance billing feels confusing, intimidating, or like something you’re constantly second-guessing, you’re not behind.
You were simply never trained for this.
Insurance 101 for Private Practice gives you a clear, step-by-step roadmap for understanding insurance billing from the ground up - so you can run your systems confidently, ethically, and profitably.
Designed specifically for pediatric speech, occupational, and physical therapy practices.
Does any of this sound familiar?
Insurance terminology feels overwhelming
You’re unsure if you’re billing correctly (and worried about doing something wrong)
Claims are denied or delayed and you don’t always know why
Verifying benefits feels inconsistent or unclear
Staff members handle billing differently, creating confusion and errors
You want systems that work — but don’t know where to start
This course exists to bring clarity to all of it.
This course is designed for:
Speech, Occupational, & Physical Therapists
Private Practice Owners
Office Managers
Billers
No prior billing experience required. This course meets you where you are.
After completing Insurance 101, you’ll be able to:
Understand the Full Insurance Billing Process
Bill insurance with confidence instead of second-guessing
Choose CPT and ICD-10 codes correctly for pediatric ST/OT/PT
Strengthen documentation to support medical necessity and compliance
Create Clear, Repeatable Billing Systems
Verify benefits and manage authorizations with clarity
Create consistent billing workflows your whole team can follow
Submit cleaner claims and reduce avoidable denials
Run a More Stable, Predictable Practice
Communicate insurance expectations clearly with families
Understand your payer mix and reimbursement structure
Make informed, sustainable business decisions
Most importantly, you’ll stop feeling overwhelmed by insurance...
and start feeling grounded in systems you understand and trust.
WHAT'S INSIDE THE COURSE
MODULE 1
Insurance Billing Foundations
Understand how therapy billing works, key players, and the differences between Medicaid, Medicare, and commercial insurance.
MODULE 2
Credentialing & Contracting
Learn how to credential with payers, complete CAQH, and decide if you should go in-network, out-of-network, or superbill.
MODULE 3
Verification & Benefits Checks
Scripts, templates, & checklists to confirm eligibility, detect therapy caps, and document everything clearly for your families and EMR.
MODULE 4
Coding for
ST/OT/PT
CPT + ICD-10 code explanations with real-life [pediatric] examples and state-specific nuances (like state timing rules).
MODULE 5
Documentation & Medical Necessity
SOAP notes, progress reports, and re-evaluation requirements that support your claims in addition to protecting you in audits.
MODULE 6
Claim Submission Process
Best practices using Fusion/Ensora; including how to set up, bill, and troubleshoot claims from start to finish.
MODULE 7
Managing Denials & Appeals
Avoid common rejections, reprocess correctly, and appeal denied claims confidently.
MODULE 8
Family Communication & Financial Policies
How to explain copays, deductibles, and timelines to parents — while protecting your bottom line.
MODULE 9
Compliance & Legal Basics
HIPAA, fraud prevention, and audit readiness simplified so it actually makes sense for therapy practice owners.
MODULE 10
Optimizing Workflows & Staff Roles
Daily billing checklists, revenue reports, and staff accountability systems that make billing sustainable.
PLUS SPECIAL
BONUS MODULE
Real-Life Scenarios & Q&A
Case studies, Q&A sessions, and community troubleshooting with Rebecca and her billing team.
Understanding insurance is one thing - implementing it is another.
That’s why Insurance 101 for Private Practice includes practical tools you can use immediately inside your practice.
BONUS RESOURCES INCLUDED IN YOUR COURSE ENROLLEMENT
Pediatric ST/OT/PT ICD-10 Cheat Sheets
Insurance Verification Question List
Medical Necessity Templates
Credentialing + Prior Authorization Checklists
CMS-1500 Sample + Walkthrough
Appeals + Denial Tips
Sample Remittance Advice (RA)
These tools are designed to reduce guesswork, support compliance, and save you hours of administrative time.
INSURANCE 101 FOR PRIVATE PRACTICE
A complete, step-by-step foundation for understanding and managing insurance billing with confidence.
Lifetime access to all course content and future updates as payer rules evolve
Short, actionable video lessons you can complete at your own pace
Downloadable checklists and templates you can put into use immediately
A clear, step-by-step roadmap that brings clarity and confidence to your insurance billing systems
ABOUT Your Instructor
Rebecca Rowe, MS, CCC-SLP
15-year Speech-Language Pathologist
10-year private practice owner
Operates 3 pediatric therapy clinics in North Carolina
In-network with NC & SC Medicaid (including managed care plans) and multiple commercial payers
Known for making complex billing systems practical, ethical, and realistic for real-world clinics
THE PROOF IS IN THE FEEDBACK
Don't just take it from me - check out the feedback from therapists, owners, managers & billers (just like you!) who have taken the course and applied what they learned.
"Quote from happy student who is feeling much more confident and saving time in their billing practices"
Testimonial Name, Role/Credentials
"Quote from happy student who is feeling much more confident and saving time in their billing practices."
Testimonial Name, Role/Credentials
FREQUENTLY ASKED QUESTIONS
Q: Who is this course for?
Speech, occupational, and physical therapy providers, owners, office managers, and billers looking to understand or improve insurance billing.
Q: How long do I have access?
Lifetime access, including all updates.
Q: Does the course cover CPT and ICD-10 codes?
Yes - plus downloadable cheat sheets for ST, OT, and PT.
Q: Does it cover claims, denials, and appeals?
Absolutely. You’ll learn how to submit claims, fix errors, reprocess, prevent denials, and navigate appeals.
Q: What types of insurance does it cover?
Commercial insurance and Medicaid as they apply to pediatric therapy practices.
Q: Is it pediatric-specific?
While all examples and systems are designed specifically for pediatric therapy billing, most if not all applies to billing for any population.
Q: Do I need prior billing experience?
No. The course is beginner-friendly and walks you through the full insurance workflow step-by-step.
Q: Will I learn how to verify benefits and handle authorizations?
Yes. Verification scripts, required questions, and prior authorization checklists are included.
Q: What templates & resources are included?
Credentialing checklists, SOAP note guidance, CMS-1500 walkthrough, medical necessity examples, verification questions, denial tips, and more.
Q: Is support available?
Yes. You’ll have access to a private Facebook group and optional 1:1 support sessions.
Your practice, your time, and your revenue matter.
Let’s make insurance feel doable - so you can focus on helping kids, not fixing claims.
You don’t have to figure this out alone.
You’ve put off asking for more — now it’s time to get paid what you're worth.
INSURANCE 101 FOR PRIVATE PRACTICE
Lifetime access, practical tools, and support—so insurance never feels overwhelming again.
Taught by a multi-clinic pediatric practice owner who bills insurance daily
Real-world systems - not theory or generic advice
Designed for ethical, compliant, sustainable billing practices