Extra Mile Billing

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

If you feel like your therapy practice only grows when you work harder… that’s the technician trap.More visits. More not...
03/02/2026

If you feel like your therapy practice only grows when you work harder… that’s the technician trap.

More visits. More notes. More fires.
But not always more profit (or peace).

Value-optimized growth is different:
• Clean claims + clean follow-up so you keep what you earn
• Fewer preventable denials and rework
• Authorization + documentation workflows that don’t live in your head
• Real visibility into what’s paid, what’s pending, and what’s stuck

You don’t need to chase volume to build a stable practice.
You need a revenue cycle that’s steady, predictable, and built around the care you actually want to provide. 🌿

If you want a quick second set of eyes on where revenue is leaking, we’re here.

Transitioning from a therapist to a clinic owner is one of the biggest shifts you’ll ever make.Many SLP, OT, and PT owne...
02/27/2026

Transitioning from a therapist to a clinic owner is one of the biggest shifts you’ll ever make.

Many SLP, OT, and PT owners find themselves stuck in what we call the “Technician Trap.” You’re excellent at what you do, so you end up doing everything yourself. But staying in the weeds of daily tasks often leads to burnout and keeps your practice from growing.

In our latest podcast episode, "From Therapist to CEO: How SPOT Clinic Owners Escape the Technician Trap," we talk about how to move from working in your business to working on it. It’s about building the systems and the team that allow you to step back and focus on your vision.

Strengthening your role as a manager means creating repeatable processes. Strengthening your role as an entrepreneur means setting the direction for your practice's long-term health.

Delegating isn't about finding someone who does it perfectly: it's about creating a process where others can succeed, freeing you up to lead.

You can listen to the full episode now to learn more about escaping the trap and finding your rhythm as a CEO.

(561)941-9770 🌿
www.extramilebilling.com

Running a therapy practice often feels like juggling a dozen tasks at once. Between helping your Medicaid patients reach...
02/26/2026

Running a therapy practice often feels like juggling a dozen tasks at once. Between helping your Medicaid patients reach their goals and managing the daily schedule, the "60-day rule" for overpayments can feel like just another weight on your shoulders. It’s a lot to carry when you’re already giving so much to your community.

Forensic billing is our way of helping you lighten that load. Instead of worrying about potential clawbacks or missed deadlines, we look back through your billing history to identify any discrepancies early. This proactive check keeps you compliant with Medicaid requirements and gives you the peace of mind to focus on the moments that actually matter in your clinic. 🌿

We believe your practice deserves to feel secure and supported. Taking these small, intentional steps now helps protect the progress you’ve built for the long term.

Florida’s HB 1453 is bringing a closer look at Medicaid documentation, and we know that retrospective audits can feel pr...
02/23/2026

Florida’s HB 1453 is bringing a closer look at Medicaid documentation, and we know that retrospective audits can feel pretty daunting when you’re already managing a busy practice. It’s one more thing on an already full plate, and we know how much you care about getting it right for your patients and your team.

The best way to stay protected is to make sure your documentation is audit-proof from the start. Your notes are your first and strongest line of defense, and catching those small gaps now: before the state does: is the key to keeping the revenue you’ve earned. It’s about having peace of mind that your focus can stay where it belongs: on the people you serve.

We’re here to help you shore up those files and find a little more ease in your day. You don’t have to handle the complexities of Medicaid billing alone. If you want a second pair of eyes on your documentation, give us a shout at (561)941-9770. 🌿

Delegation for SanityYour weekends shouldn't be spent chasing insurance or untangling authorization dates. You opened yo...
02/23/2026

Delegation for Sanity

Your weekends shouldn't be spent chasing insurance or untangling authorization dates. You opened your practice to help people, not to become a full-time billing administrator.

When practice owners feel overwhelmed by the weight of paperwork, we recommend handing off one specific task first: Authorization Management.

Authorizations are a constant mental load. Tracking Medicaid eligibility, expiration dates, and units is a major "time-leak." By delegating this, you aren't just moving a task: you're reclaiming the headspace to focus on your patients and your family.

At Extra Mile Billing, we take that weight off your shoulders. We track the dates and handle submissions so you can actually enjoy your time off. You don’t have to do it alone. Your practice and your sanity deserve that support.

Let’s get your weekends back.

(561) 941-9770

The recent updates to Florida’s SB 1758 and the iBudget waiver are such an important step for our pediatric therapy comm...
02/20/2026

The recent updates to Florida’s SB 1758 and the iBudget waiver are such an important step for our pediatric therapy community. By working to shorten the waitlist and rolling out updated pediatric standards, these changes are designed to help more kids get the personalized care they need. We know keeping up with legislative shifts can feel a bit overwhelming, but it’s all about creating a smoother, more supportive path for both families and providers.

As you start navigating these new Medicaid requirements, please know that we see the incredible heart you put into your practice every day. We’re here to take the administrative weight off your shoulders: handling the authorizations and billing details: so you can stay present for the small wins and big milestones in your clinic. We’re so proud to walk alongside the therapists who go the extra mile for Florida’s families.

Is your practice capturing the $20 after-hours bonus from Sunshine Health? It applies to any therapy visit starting afte...
02/18/2026

Is your practice capturing the $20 after-hours bonus from Sunshine Health? It applies to any therapy visit starting after 5 PM, on weekends, or holidays. It’s a simple way to boost your bottom line for work you’re already doing.

We have some insider news to share. Aaron from our team just got off the phone with Duenna Dorsett, VP of Provider Relations at Sunshine Health. They are updating their site soon with 2026 holiday details, but she confirmed for us that all federal holidays will be covered.

Ready to maximize your revenue? Read the blog or send us a message to see how we can help. (561) 941-9770 ☀️

The 'insurance exodus' is a real challenge.Many providers are leaving networks because the admin burden is simply too he...
02/16/2026

The 'insurance exodus' is a real challenge.

Many providers are leaving networks because the admin burden is simply too heavy to carry alone.

Common pain points:
- Claims stuck in 'pending' for months.
- Endless authorization loops.
- Hours wasted on hold with payers.

You want to keep your care accessible, but your practice needs to stay healthy, too.

Extra Mile plugs the hidden revenue leaks in your process, so you can stay profitable while remaining in-network.

We handle the persistence, you handle the patients.

(561)941-9770 🌿

🎙 The final episode in our roundtable series is live from the Spot Growth Podcast!This episode wraps up powerful convers...
02/13/2026

🎙 The final episode in our roundtable series is live from the Spot Growth Podcast!

This episode wraps up powerful conversations with SPOT practice owners about why they opened their clinics, what growth really looks like in the early stages, and the mindset it takes to build something sustainable.

If you’re starting a practice : or thinking about it : this is a great listen to close out the series.

Listen here: https://podcasts.apple.com/us/podcast/spot-growth/id1703293969?i=1000749562302

Running a practice often means making tough calls, especially when it comes to insurance contracts. In our latest podcas...
02/10/2026

Running a practice often means making tough calls, especially when it comes to insurance contracts. In our latest podcast episode, Aaron sits down with Florida clinic owners Aimee Brueck, Hasina Echoles, and Jennifer Voltz-Ronco to talk about something that hits close to home: payer strategy.

We dive into the reality of knowing when to say yes, and when to say no: to a contract. It’s not just about the numbers; it’s about protecting your margins so you can keep focusing on the people who need you most.

It’s a grounded conversation about the growth and the hurdles we all face in healthcare. You can listen to the full episode here: https://podcasts.apple.com/us/podcast/episode-50-behind-the-growth-spot-owner-conversations/id1703293969?i=1000747317949

Your practice deserves to thrive on your terms. 🎙️

For many of us running clinics in Florida, the "80% Trap" feels less like a business challenge and more like a weight on...
02/09/2026

For many of us running clinics in Florida, the "80% Trap" feels less like a business challenge and more like a weight on our mission. When Medicaid plans offer rates that don't cover the true cost of care, it isn't just a number on a spreadsheet: it affects the therapists we can hire and the families we can support.

Your practice deserves a sustainable path forward. We’re standing with the Alliance for Pediatric Therapies to call for fair reimbursement because protecting the heart of pediatric care matters.

You shouldn't have to carry the burden of these systemic issues alone. We’re here to help you navigate the billing side so you can stay focused on the progress happening in your gym.

Give us a call at (561)941-9770 to talk about how we can support your clinic. 🤝

Running a practice is a lot of heart and a lot of paperwork. Usually, that paperwork follows you home. It sits on the ki...
02/06/2026

Running a practice is a lot of heart and a lot of paperwork. Usually, that paperwork follows you home. It sits on the kitchen table while you try to have dinner. It stays on your mind when you should be resting.

We believe your time away from the clinic should actually be your own. When you outsource your billing, you aren't just handing over claims. You’re getting back your evenings and your headspace.

You deserve to enjoy a quiet cup of coffee or a walk outside without worrying about authorization deadlines. We take care of the persistence and the details so you can focus on the people in front of you.

Small changes can make a big difference in how you feel at the end of the day. If you're ready to reclaim your personal time, we're here to help.

Give us a call at (561) 941-9770. Let's talk about how we can support your practice. ☕️

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Jupiter, FL
33418

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