#120: In-House vs Third-Party Billing: What Breaks as Clinics Scale (Feat. Casey Peters)

This week on Strata Stories, Casey Peters, COO of StrataPT, unpacks a debate that comes up constantly in rehab therapy: in-house billing versus third-party billing.He focuses on what owners need to think through as their practices grow and complexity increases.A few takeaways from the conversation:• In-house billing often works early, but becomes fragile as volume grows• Losing a single biller can mean losing years of payer knowledge and workflow context• Billing is only one part of RCM, gaps anywhere in the process create revenue risk• Payer rules change constantly, and keeping up requires focus and scale• Clean processes and accountability matter more than where billing lives• Owners should review AR, denials, and payment trends, not just bank balances• The right RCM partner reduces handoffs and clarifies ownershipThis episode isn’t about features or pricing.It’s about visibility, resilience, and protecting the business as it scales.If you'd like to learn more about Strata EMR & Billing and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic, head over to stratapt.com and book a demo with our team!Have any questions? Send us a note [email protected].