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, code, 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're 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.

  • 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.

  • 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.

  • Denied claims get reviewed, corrected, and resubmitted*. We handle appeals and communicate directly with payers so revenue does not sit unresolved.

    *Tier dependent

  • 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.

  • Unpaid claims are followed up* through consistent status checks, corrections, and resubmissions to ensure money does not fall through the cracks.

    *Tier dependent

  • You always know where your revenue stands with a monthly meeting*, progress reporting, and 24/7 dashboard access inside Fusion/Ensora.

    *Tier dependent

    • 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, 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 has been a Speech-Language Pathologist for 16 years and has owned a multi-location practice for over a decade. She built a three-location practice in North Carolina from the ground up, developed billing SOPs, and trained her full admin team on the insurance billing process.

She knows firsthand what it takes to make medical billing work inside a growing therapy practice. She also offers self-paced courses through RR Therapy Consulting, where clinicians nationwide have learned to navigate insurance and negotiate rates.

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 moved into pediatric therapy and helped grow a small private-pay practice into a three-location clinic now generating over $2 million annually. She has been part of every step, including insurance verification, claims submission, denial management, and collections.

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

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.

$2M+

in annual revenue across 3 locations

Insurances We Work With

Bluecross Blueshield • Aetna • MedCost • Cigna • UnitedHealthcare • UMR • NC Medicaid • NC Managed Care Plans • SC Medicaid (Healthy Connections only)

Clearinghouses We Bill Through

ClaimMD

#

insurance claims processed & paid annually

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.

  • "Creative, reliable, and genuinely passionate about what they do."

    —Former Customer

  • "A professional team that delivers on their promises."

    —Former Customer

  • "Every detail was thoughtfully executed. We're thrilled with the outcome."

    —Former Customer