#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 ownership

This episode isn’t about features or pricing.

It’s about visibility, resilience, and protecting the business as it scales.