You deserve to focus on what matters most — client care. Let us handle the rest.
Medical Billing for Pediatric Therapy Practices
ACTivated Practice Solutions handles insurance billing for speech, occupational, and physical therapy clinics, so you stop chasing claims and start getting paid consistently.
Claims submitted accurately, every time
We review and submit your claims through Fusion/Ensora, with clearinghouse confirmation on every submission.
Denials worked, payments posted, A/R monitored
Full billing management from submission to collections, with monthly reporting so you always know where your revenue stands.
HIPAA-compliant, start to finish
Encrypted systems, signed BAAs, and processes built around protecting your patients' information.
Insurance billing, handled by people who've done it themselves.
Billing issues don't just affect your bottom line… they affect your focus, your team, and your ability to grow.
ACTivated Practice Solutions is a medical billing company built specifically for pediatric speech, occupational, and physical therapy practices.
We manage your insurance billing from claim to collection inside Fusion/Ensora, so nothing falls through the cracks, and you are not spending your time chasing it. Most practice owners know billing is costing them money. Unpaid claims sit too long. Denials pile up without follow-up. Revenue goes untracked. We fix that.
Our medical billing services are built around a clear, process-driven system that gets your claims out the door, your denials resolved, and your cash flow predictable.
Women-Owned & Operated
Pediatric Therapy Billing Specialists
Fusion/Ensora EMR Experts
When billing is done right, you can focus on your clients, your team, and growing your practice… Not chasing payments.
Who We Work With
Built for Pediatric Therapy Practices of all sizes
Whether you are a solo clinician just starting to accept insurance or run a multi-location clinic ready to hand billing off for good, ACTivated works with practices at every stage.
Solo Practice Owners
You wear every hat. Let us take billing off the list so you can focus on your clients and the business side of growth.
Multi-Clinician Clinics
You're managing a team, multiple locations, and a growing business. We handle insurance billing end-to-end so it is not pulling you or your admins away from what matters.
Office Managers & Admins
You need a billing partner who communicates clearly, works inside Fusion/Ensora, and makes your day-to-day easier, not harder.
Billing Services
Medical billing managed from claim to collection.
We handle every part of the insurance billing process for pediatric therapy practices. Three service tiers let you choose the level of support your practice needs, from straightforward claim submission to full revenue cycle management.
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We review finalized documentation for accuracy, submit claims through Fusion/Ensora, and track clearinghouse acceptance and rejections so your claims go out accurately and on time.
You get paid faster and spend less time fixing errors.
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Every payment gets posted accurately (this includes electronic remittances, mailed EOBs, adjustments, and write-offs) so your books stay clean and patient balances are always up to date.
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Denied claims get reviewed, corrected, and resubmitted*. We handle appeals and communicate directly with payers so revenue does not sit unresolved.
*Tier dependent
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We monitor your A/R aging, identify denial trends and systemic billing issues, and flag problems early so cash flow stays predictable and nothing compounds quietly.
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Unpaid claims are followed up* through consistent status checks, corrections, and resubmissions to ensure money does not fall through the cracks.
*Tier dependent
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You always know where your revenue stands with a monthly meeting*, progress reporting, and 24/7 dashboard access inside Fusion/Ensora.
*Tier dependent
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Credentialing
A/R Cleanup Projects
Insurance Contract Review
1:1 Strategic Consulting
Free Resource
Are you monitoring your most important numbers?
Grab your free Weekly Revenue KPI Checklist created specifically for pediatric speech therapy, occupational therapy, and physical therapy clinics.
This free checklist gives you the six numbers that directly impact cash flow, margins, and long-term profitability.
About the Team
Two practice insiders. One billing team.
Rebecca and Sarah built a multi-location pediatric therapy practice from the ground up and ran every part of the billing themselves. That practice now generates over $2 million annually. They have seen what happens when billing breaks down and built ACTivated to make sure it does not happen to you.
Rebecca Ingram Rowe, MA, CC-SLP/COM, Co-CEO
Rebecca is a Speech-Language Pathologist with 16 years of clinical experience and over a decade of practice ownership. She built and scaled a multi-location pediatric therapy practice in North Carolina, developing the operational foundation, billing SOPs, and team training needed to support long-term growth.
She brings firsthand insight into what it takes to run a successful therapy practice, combining clinical expertise with a deep understanding of insurance, compliance, and reimbursement. Rebecca also provides education and consulting to clinicians nationwide, helping them navigate insurance systems and confidently grow their practices.
16 years as an SLP, 10+ years as a practice owner
3 clinic locations, 22+ staff members in NC
10+ years of insurance billing and HIPAA compliance
Sarah Morris, Co-CEO
Sarah started her career in EMS billing and worked her way through every role in the revenue cycle, from claims management to denial follow-up to payment posting. She holds a coding certification and spent years specializing in Medicaid and commercial payer management.
In 2019, she transitioned into pediatric therapy and has been instrumental in scaling the revenue cycle operations behind a multi-location clinic, now generating over $2 million annually. Sarah helped develop and implement the billing infrastructure for the practice, including workflows, standard operating procedures, and systems that ensure consistency, efficiency, and long-term financial stability.
She brings hands-on expertise across the full revenue cycle, including insurance verification, claims submission, denial management, and collections, with a focus on building processes that continue to perform as the practice grows.
Coding certification, full-cycle revenue management
10+ years in medical billing and insurance billing
Medicaid and commercial payer specialist
Experience You Can Measure
They did not just study effective billing. They built a practice with it.
$13M+
in revenue generated over the last 7 years
3
clinic locations built and managed in North Carolina
$2M+
in annual revenue across 3 locations
#21,105
insurance claims processed & paid annually
Compliance and Security Built Into Everything We Do
ACTivated operates in full compliance with HIPAA regulations, utilizing secure, cloud-based systems, including Ensora EMR and Google Workspace, both of which are supported by signed Business Associate Agreements
Every process includes role-based access controls and encrypted communication to protect your patients' data.
Insurances We Work With
Blue Cross Blue Shield • Aetna • MedCost • Cigna • UnitedHealthcare • UMR • NC Medicaid • NC Managed Care Plans • SC Medicaid (Healthy Connections only)
Getting Started with ACTivated Practice Solutions
Fill Out the Inquiry Form
Tell us about your practice and what you need. We will then review the form and reach out with the next steps.
Meet for Your Onboarding Call
Meet for a 1-hour call covering your practice overview, EMR setup, workflow alignment, and your go-live timeline.
We Handle the Setup
System checks, access configuration, and initial claims prepared per your selected billing tier.
Billing Goes Live
You get submission confirmation, 24/7 access to the EMR dashboard, and a monthly check-in to stay connected.
