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

About this episode

Casey Peters discusses the complexities of in-house versus third-party billing as clinics scale.

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 ownership This 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…

People in this episode

Guest: Casey Peters

Topics covered

• in-house billing
• third-party billing
• revenue cycle management
• clinic growth
• billing processes
• accountability

Keywords

• billing
• revenue risk
• payer knowledge
• AR
• denials
• payment trends
• RCM partner
• visibility
• resilience

Mentioned in this episode

Organizations: StrataPT, Strata EMR & Billing

Places: rehab therapy

More episodes of Strata Studios

• #125: What Actually Matters with AI Right Now (Feat: Rafi Salazar) · March 31, 2026 · 34 min
• #124: The Credentialing Mistakes Costing Clinics Thousands (Ft. Summer Pittman) · March 17, 2026 · 30 min
• #123: Making Cash Services Stick (Ft. Silva, Hite & Noga) · March 3, 2026 · 45 min
• #122: Why “We’re Profitable” Isn’t Good Enough (Feat. Sean Healy from Accounted4) · February 17, 2026 · 27 min
• #121: Lessons in Scaling Rehab Clinics (Ft: Josh Funk) · February 3, 2026 · 39 min
• #119: The Real Stakes Behind the “Professional” Label Debate (Feat. Dana Strauss) · January 8, 2026 · 44 min