MEDI-CAL LEA BOP · REVENUE RECOVERY

Built to Turn Session Notes
Into Revenue

California districts capture only 40-60% of eligible Medi-Cal reimbursements. SPEDScribe is building AI-generated documentation that includes the billing elements Medi-Cal claims need, from the first word.

THE REVENUE GAP

Billions left on the table, every year.

$4-6B
annually - school-based Medicaid is the 3rd largest K-12 funding source
$130K-$3.25M
lost per district per year in uncaptured Medi-Cal revenue
74.3%
of Medicaid improper payments caused by missing or insufficient documentation
86%
of claim denials are preventable
HOW SPEDSCRIBE CLOSES THE GAP

Designed to take you from "claim denied" to "claim-ready."

Traditional
  1. Provider types notes after hours
  2. Billing team reviews days later
  3. Missing data / wrong code
  4. Claim denied
  5. Revenue lost
SPEDScribe
  1. Provider dictates a recap after the session
  2. AI drafts SOAP note with billing metadata (in development)
  3. CPT code + ICD-10 auto-suggested
  4. Medical necessity statement included
  5. Designed to be claim-ready the same day
WHAT'S IN EVERY NOTE

7 billing elements, designed into every note (in development).

Session Timing
Start, end, duration, and billable units (8-min rule for OT, 15-min increments for SLP/BCBA)
CPT Code + Modifiers
Discipline-specific suggestion with GN/GO and group modifiers applied
ICD-10 Diagnosis
Mapped from IDEA eligibility and inferred from transcript content
Medical Necessity
Auto-generated statement matched to discipline and session content
IEP Goal Reference
Each session tied back to specific IEP goals the student is working on
Service Delivery Method
Individual vs. group vs. teletherapy, with place-of-service code
Provider Attestation
Required clinician sign-off line before billing submission
REVENUE RECOVERY CALCULATOR

Estimate your district's recovery.

District Enrollment
10,000
Medi-Cal Eligible %
55%
SPED Population %
13%
Current Capture Rate
45%
SPEDScribe Tier - drives recovery uplift
ESTIMATED ANNUAL REVENUE RECOVERY (ESSENTIALS)
$286,000
715 Medi-Cal-eligible SPED students · capture 45% → 65% · contact us for pricing
Estimates assume a ceiling of up to $2,000 per Medi-Cal-eligible SPED student per year, based on the California LEA BOP reimbursement rate schedule. Actual reimbursement varies widely by district demographics, service mix, billing infrastructure, and the specific mix of billable services delivered - use this calculator as a planning tool, not a guarantee. It estimates the revenue-recovery opportunity only; SPEDScribe pricing is customized per district based on team size and contract length. Contact us with your district's actual billing history for a precise projection and pricing.
COMPLIANCE & AUDIT-READY

Built for the audit, not around it.

Every note includes audit-trail metadata
Provider review required before billing - AI assists, never decides

Stop leaving revenue on the table.

Book a 15-minute demo and preview Medicaid-ready documentation (in development) generated from a session transcript.