Specialty Billing Focus
Top Occupational Therapy Billing Company
Our occupational therapy medical billing and coding services include evaluations (CPT 97165‑97168), re‑evaluations (97168), therapeutic activities (97530), self‑care management (97535), and group therapy (97150). We ensure Medicare, Medicaid, and commercial payer rules are followed while maximizing revenue per billed unit.
- HIPAA Compliant
- Certified AAPC Coders
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Membership & Certifications
Improve therapy reimbursements with accurate occupational therapy billing, documentation review, and proactive denial management.
Why Specialization Matters?
Occupational therapy billing is NOT general medical billing. Neither should your billing be.
Occupational Therapy codes & Reimbursement Rates
We monitor timed and untimed codes, enforce the 8-minute rule and optimise each 15-minute unit.
CO Modifier & GO Modifier Application
We correctly apply CO (outpatient OT provided by a PT or SLP) and GO (OT services provided under a plan of care) to avoid denials.
KX Modifier for Therapy Caps
We apply the KX modifier for services provided when the annual cap is exceeded, for which we will seek reimbursement from the provider.
Denial Reduction & Cash Flow
Denials were reduced by 50% or more with claim scrubbing, root cause analysis, and diagnosis specificity.
Scope Of Expertise
Comprehensive occupational therapy Coverage
Occupational Therapy Taxonomy Code
Correct use of taxonomy code 225X00000X (Occupational Therapist) or 224Z00000X (Occupational Therapy Assistant) is critical for payer enrollment and claim filing. We ensure accuracy on every claim.
Occupational Therapy Billing Company
As a leading occupational therapy billing company, we handle eligibility, prior authorization, denial management, and patient collections so you can focus on clinical outcomes. This is your complete occupational therapy solution from start to finish.
Evaluation & Re‑evaluation Coding
OT evaluations (97165‑97168) are billed based on low/moderate/high complexity. Re‑evaluations (97168) require documented change in function. We capture every billable service.
Chronic & Maintenance Therapy
For maintenance therapy and chronic conditions, we apply the correct modifiers and documentation to support medical necessity, even beyond cap limits. We also facilitate occupational therapy and medical doctors coordination to ensure plan of care compliance and shared progress reporting.
End-to-End Workflow
Occupational Therapy Billing Solutions
Eligibility & Verification
Pre-visit checks to confirm coverage for OT services, including therapy caps, prior authorization requirements, and medicaid billing codes for occupational therapy for each state.
Charge Entry
Properly documenting all timed and untimed OT services, including evaluations, re-evaluations, therapeutic activities, and self-care management, without losing revenue opportunities.
Coding & Modifiers
Expert application of OT-specific CPT/ICD codes and modifiers (GO, CO, KX, GP) with precise occupational therapy claims service protocols for every payer.
Claim Submission
Rigorous scrubbing processes ensuring an industry-leading clean claim rate, with special attention to billing units occupational therapy and the 8-minute rule.
A/R & Denials
Prompt follow up of inactive accounts and quick appeal of denied OT claims such as denied therapy, modifier errors, and medical necessity claims.
Patient Billing
Accurate and supportive patient statement creation for deductibles, co-insurance, and for out-of-scope services like maintenance therapies moving beyond cap limits.
KPI Dashboards
Real-time financial reporting by occupational therapy practice metrics such as clean claim rate, denial trends and days in A/R.
Compliance
Strict adherence to HIPAA guidelines, CMS therapy cap rules, and state-specific medicaid billing codes for occupational therapy for full audit protection.
Key Metrics for Occupational Therapy Billing Services
Our occupational therapy medical billing services integrate with existing EHR/PM software to deliver measurable revenue cycle improvements, including accurate billing units occupational therapy, reduced denials, and faster reimbursements.
Our Methodology
Family Practice Workflow Integration
Practice Assessment
Identify previous audits in a few checks through our precise audit systems.
Onboarding
Seamless onboarding through accurate credentialing and HER alignment.
Denial Prevention
Reduce the claim denial rate with accurate and complete Gastroenterology medical billing.
Optimization
Get the latest insights and performance metrics weekly for your revenue growth.
Practice Types
Who We Serve
Solo Occupational Therapists
Multi-Provider OT Clinics
Rehab Agencies & SNFs
Home Health OT Services
Overcoming OT-Specific Challenges
Medicaid Coding Confusion
We stay current with all medicaid billing codes for occupational therapy across every state to avoid denials and delayed payments.
Modifier Misapplication (GO, CO, KX)
We stop revenue bleed by correctly applying GO, CO, and KX modifiers, including therapy cap exceptions and outpatient OT distinctions.
Plan of Care & Physician Coordination
We facilitate occupational therapy and medical doctors collaboration to ensure compliant plans of care, re-certifications, and progress reporting.
Comprehensive Solutions
End-to-End Occupational Therapy Billing & Revenue Cycle Support
.Our services work together as one connected revenue cycle system to improve claim accuracy, reduce delays, and strengthen practice performance.
Occupational Therapy Billing Services
Correct coding and claim submission to minimize claim delays such as correct billing units occupational therapy and 8-minute rule.
Credentialing Services
Provider enrollment, CAQH support, and payer follow-up using correct OT taxonomy codes to help practices stay billing-ready.
Occupational Therapy Medical Coding Services
Clear coding procedures with fewer mistakes, easier claim acceptance and revenue protection, through accurate occupational therapy coding and reimbursement rates.
Front Office Support
Eligibility checks, prior authorization for OT services, and intake coordination to improve downstream accuracy.
Occupational Therapy Claims Service
End-to-End occupational therapy claims from submission to payment posting including denial and appeals.
Physical Therapy & Multidisciplinary Billing Services
While we specialize in OT, our expertise extends to Medical Billing Services, Physical Therapy Billing Services for multidisciplinary rehab practices.
Got Questions?
Occupational Therapy Billing Specifics
Here is what you actually need to know about occupational therapy medical billing and how we keep your practice running without the usual headaches.
Always Available
24/7 support for your practice
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Proven Results
Success Stories from Practices
