Skip to content
MegAligna

Product

Scheduling Clinical notes Intake Patient portal Billing Reporting

ABA

ABA therapy software ABA scheduling ABA data collection Supervision calculator

Compare

All comparisons CentralReach alternative Motivity alternative Raven alternative TherapyNotes alternative SimplePractice alternative Jane alternative WebPT alternative ChiroTouch alternative

Switch

Migrating your data From CentralReach From Motivity From Raven From TherapyNotes From SimplePractice From Jane From WebPT

Free tools

All free tools All guides All templates 8-minute rule calculator Superbill generator The 8-minute rule Superbill vs CMS-1500 CMS-1500 field guide Superbill template Patient intake form ABA session note SOAP, DAP and BIRP notes Authorization tracker
Pricing
About Contact
Start free trial Sign in

Specialties

Speech therapy practice management software

Speech therapy practice software runs a private SLP practice: recurring session scheduling, SOAP notes tied to treatment goals, superbills for out-of-network families and exports for your biller. MegAligna fits solo SLPs through multi-clinician pediatric clinics, priced per clinician seat with client records and non-clinical staff free.

Start free trial See pricing

Practice management software, not therapy exercise software

Two different products share this search term. Therapy-content apps put drills and articulation exercises in front of clients, and this is not one of them.

MegAligna runs the practice around the therapy: the recurring schedule, goal-linked documentation, guardian relationships and the billing. It is practice management software for speech therapists, built for the SLP in private practice rather than for managing a school caseload.

A caseload that meets twice a week

  • Included

    Recurring session scheduling

    Weekly and twice-weekly series per client across clinic, school and home locations, with cancellation reasons tracked, attendance is a clinical variable in pediatric speech work.

  • Included

    Goal-linked session notes

    SOAP notes tied to treatment-plan goals, so progress toward each goal is traceable across sessions, the documentation shape both payers and IEP conversations reward.

  • Included

    Guardian and family structure

    Consents, communication and balances belong to guardians, including split-family situations, using the same guardian model as the ABA and OT practices this system serves.

  • Included

    Biller exports

    Every field a superbill or CMS-1500 needs is captured per session and exports as CSV for whoever submits your claims. Rendering either document onto its form is gated on AMA CPT licensing and not released yet.

  • Not included

    Teletherapy video

    No video is embedded. Sessions schedule and bill as telehealth with the correct place of service, and the practice brings its own HIPAA-covered video platform.

One charge per session, until 2027

Speech-language pathology bills differently from PT and OT. Treatment under 92507 and the evaluation codes 92521 to 92524 are untimed: each is reported once per patient per date of service whether the session ran 30 minutes or 60, and Medicare’s unit limit for each is one a day. The minutes still belong in the note, because they show what was done, but they do not multiply the charge.

That changes on January 1, 2027, when ASHA reports that certain SLP treatment services move from 92507 to new timed treatment codes. A practice should expect to count units for those services from then, and to check each payer’s adoption date.

A caution about how MegAligna handles this today: it computes units from the session’s minutes using a unit length and rounding rule set per payer, not per code. A payer configured for 15-minute units would turn a 45-minute 92507 session into three units, which is wrong for an untimed code. Configure the payer so a session yields one unit, or have your biller confirm the unit on every untimed line before it goes out.

Two sub-pages go deeper. SLP documentation software covers goals, session notes and the progress report that otherwise eats an evening. Billing software for speech therapists covers units and the biller handoff.

Common questions

Does it work for school-contract SLPs?
Partly. Sessions at school locations schedule and document normally with the correct place of service. District-contract invoicing, billing a school district as the payer rather than a family, is not built: billing here is patient- and payer-based. If district contracts are most of your revenue, invoice them outside this system for now.
Is 92507 billed by the minute?
Not today. 92507 and the 92521 to 92524 evaluation codes are untimed and reported once per date of service. Some SLP treatment moves to new timed codes from January 1, 2027, so the answer changes for those services then.
Can an evaluation and a treatment session be billed the same day?
Sometimes. Whether a given evaluation code and 92507 can both be billed for one patient on one date depends on the current National Correct Coding Initiative edits and the payer, so check the pair before booking both.
What does a two-SLP practice actually pay?
Two clinician seats, the front desk login, guardian records and your biller's access are free. The pricing page has the current per-seat rate, published rather than quoted.

Schedule a test twice-weekly speech client

14 days, no card required. Use made-up patients while you evaluate: real patient information waits until a business associate agreement is in place.

Start a 14-day free trial See the pediatrics pages

Sources

  1. ASHA, Understanding Timed and Untimed CPT Codes: untimed codes are reported once per patient per date of service; some SLP treatment moves from 92507 to new timed codes from January 1, 2027 (checked October 14, 2026)
  2. ASHA, Medically Unlikely Edits for SLP services: unit limit of 1 per day for 92507 and 92521-92524 (checked October 14, 2026)