Occupational Therapy Billing Services

Boost Your Medical Practice’s with Expert Occupational Therapy Billing

Occupational therapy, being the practice of assisting patients to develop, recover, or maintain the skills needed for daily living and working, greatly depends on specialized medical billing service providers. OT services are usually applied to patients who have physical, cognitive, or developmental problems, such as stroke recovery, traumatic brain injury, orthopedic injury, mental disorder, or developmental delay in children.

 

Medical billing in occupational therapy can be quite complex, given the broad spectrum of treatments and interventions. Most of the occupational therapy service will include various sessions of therapy, evaluation, treatment planning as per the requirements of the patient, and use of assistive equipment—all of these require appropriate and correct coding. Proper utilization of the CPT codes of specific kinds of therapy, whether it is sensory integrative, hand therapy, adaptive equipment training, or cognitive-behavioral intervention, ensures proper reimbursement. Furthermore, there are payer-specific rules that occupational therapy providers should follow; most payers—for example, Medicare and Medicaid—have rules on matters such as therapy caps, session limits, and authorization requirements.

Occupational Therapy Billing

One major challenge in occupational therapy billing involves establishing the medical necessity of continued treatment. Most therapy claims undergo a more detailed scrutiny by the insurance company, and so the practices have to provide comprehensive documentation that can also range from postoperative care to the long-term management of the disease processes. Without billing expertise, claims may be delayed or denied on grounds of insufficient or incorrect documentation.

 

Outsourcing occupational therapy billing services to us will enable you to manage this billing cycle more smoothly and reduce errors; hence, it will increase reimbursements. Our dedicated billing team is well aware of the unique OT coding, payer guidelines, and importance of accurate documentation. It, therefore, ensures that the claims are being processed in a correct and efficient manner to minimize the risk of denials and delays in payment. 

 

In this way, partnering with us can allow you to pay more attention to your patient care and less to the complex issues involving insurance reimbursement that will, in turn, enhance your financial performance and improve patient outcomes.

Discover What’s Included in Our Occupational Therapy Billing Service

Occupational Therapy Coding Service

We make sure every detail of your occupational therapy treatments is coded accurately with our coding services. This helps cut down on claim denials and maximizes your practice’s compensation.

Occupational Therapy Billing Charge Entry

We manage entering the costs of treatments into the billing system. Accurate charge entry means you get properly invoiced, claims are submitted quickly, and you’re reimbursed fully—keeping your revenue where it should be.

Occupational Therapy Claim Submission

We take care of sending out your correctly coded claims to insurance carriers. This ensures you get paid promptly, reduces the chance of claim denials, and keeps your cash flow steady.

Occupational Therapy AR Follow-up

Got overdue claims? We manage and follow up on them to ensure timely payments. We deal with denials, resubmit claims, and handle any payment delays, so your revenue stays consistent.

Occupational Therapy Payment Posting

We record payments from insurance companies and patients accurately in your billing system. This helps with balancing your accounts, managing outstanding balances, and keeping your finances transparent.

Occupational Therapy Denial Analysis

When claims get denied, we dig into why and find solutions. By figuring out if the issue was a coding error or missing info, we help you fix it and improve future claim accuracy.

Our Services

Medical billing

Medical Billing

Medical Transcription

Medical Transcription

EHR Data Management

EHR Data Management

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    Frequently Asked Questions

    1. How is occupational therapy billed?

    Occupational therapy is billed using specific CPT codes for services provided, such as evaluations and treatments. Correct documentation is crucial, and claims must be submitted to the insurance company or payer with the correct codes and any required modifiers.

    2. What is the billing code for OT evaluation?

    The billing codes for OT evaluation are **97003** for an initial evaluation and **97004** for a re-evaluation. These codes represent the assessment of occupational therapy and the development of a treatment plan.

    3. Can you bill OT and PT at the same time?

    Yes, we can bill both OT and PT on the same day, but each therapy must be documented separately with distinct CPT codes. So, we should verify payer policies and use any required modifiers to ensure proper billing.