🧾 Request a Demo of Our OT Billing Dashboard
Occupational Therapy Billing Service
Occupational Therapy (OT) billing involves accurately coding, documenting, and submitting insurance claims for therapy services aimed at helping patients regain essential daily functions. This includes activities related to mobility, self-care, coordination, memory, and cognitive improvement.
Due to strict compliance rules and time-based billing structures, OT clinics often struggle with denials, delayed payments, or underpayments. That’s where MyMedicalBillingService.com steps in—with custom solutions tailored to your unique needs.
⚙️ How We Help Your OT Practice Thrive
We understand the specific challenges occupational therapists face when it comes to insurance and billing. Our solutions are designed to:
✔️ Maximize reimbursement for every treatment session
✔️ Reduce claim rejections and denials
✔️ Automate documentation and compliance tracking
✔️ Save time so you can focus on patient outcomes
✔️ Provide real-time access to billing performance reports
📌 Key Features of Our OT Billing Services
✅ Accurate CPT/ICD-10 Coding
✅ Claims Submission Within 24–48 Hours
✅ Compliant Time-Based Billing for OT Services
✅ A/R Management & Denial Resolution
✅ HIPAA-Compliant & Audit-Ready Reporting
🧾 Common OT Billing Codes (CPT)
Initial Practice Assessment
We analyze your current billing processes, payer contracts, and coding habits.Customized Workflow Setup
We create an integrated system to sync with your EHR and ensure quick and accurate claims.Daily Claims Management
We submit claims, track approvals, and fix denials in real time.Monthly Reporting & Analysis
You get full visibility into collections, rejections, revenue growth, and billing KPIs.
🚫 Challenges We Solve
❌ High denial rates due to modifier errors
❌ Missed reimbursements from incomplete documentation
❌ Lack of time-based unit tracking (critical in OT billing)
❌ Medicare compliance lapses (e.g., plan of care, recertification)
❌ Complex prior authorizations
📈 Benefits of Partnering with MyMedicalBillingService
💰 Revenue Uplift
OT practices working with us see a 15–25% increase in net collections.
⏱️ Time-Saving Automation
Focus on therapy. We handle the admin tasks and back-office workflows.
🔍 Transparency & Insights
Access real-time dashboards and detailed reports.
🏥 Who We Serve
Our OT billing services are designed for:
🧒 Pediatric OT Clinics
🧠 Cognitive Rehab Centers
🦵 Orthopedic Therapy Practices
🏥 Inpatient & Outpatient OT Providers
🏠 Home Health Occupational Therapists
📊 Sample OT Revenue Cycle Report (Monthly)
| Metric | Your Clinic | Industry Average |
|---|---|---|
| Clean Claim Rate | 98% | 85% |
| Denial Rate | 4% | 12% |
| Average Days in A/R | 22 days | 40+ days |
| Claim Resubmission Rate | <1% | 7% |
| Revenue Growth (6 Months) | +18% | N/A |
🚀 Why Specialized OT Billing Matters
🔍 Time-tracking precision is essential for CPT code accuracy
📋 Detailed progress notes and treatment plans must support all claims
🔁 Regular recertification and plan updates are required for compliance
🧠 Billing modifiers (e.g., 59, 76) must be applied correctly to avoid denials
🛠️ What’s Included in Our Occupational Therapy Billing Services
| Service | Description |
|---|---|
| CPT/ICD-10 Coding | Accurate and compliant coding for all OT treatments |
| Claims Submission | Claims sent within 24–48 hours after documentation is complete |
| Eligibility & Pre-auth Checks | Verifying patient benefits and prior authorization requirements |
| Denial Management | Full-service tracking, appeals, and resubmission |
| Revenue Reporting | Monthly performance reports with AR aging, clean claim rates |
🧠 Common CPT Codes Used in OT Billing
| CPT Code | Service Description | Time-Based |
|---|---|---|
| 97110 | Therapeutic exercise | Yes |
| 97112 | Neuromuscular reeducation | Yes |
| 97530 | Therapeutic activities | Yes |
| 97535 | Self-care/home management training | Yes |
| 97755 | Assistive technology assessment | Yes |
| 97129/97130 | Cognitive function training | Yes |
💡 Common OT Billing Challenges We Solve
Time-Based Billing Miscalculations
Mistakes in documenting units of time can result in denied or underpaid claims.Incomplete Treatment Notes
Payers often require progress notes that match billed codes precisely.Improper Modifier Usage
Using the wrong modifiers can lead to reduced reimbursement or denials.Missed Authorizations
Skipping prior authorizations for certain treatments leads to full claim rejections.Medicare Compliance
OT billing under Medicare involves specific plan of care, certification, and recertification timelines.
📊 Sample Monthly Performance Report (Before vs After)
| Metric | Before (In-house) | After (Our Service) |
|---|---|---|
| Clean Claim Rate | 82% | 98% |
| Denial Rate | 14% | 4% |
| Average Days in A/R | 47 Days | 21 Days |
| Claim Resubmission Rate | 6% | <1% |
| Revenue Collection Growth | – | +22% in 6 Months |
🏁 End-to-End OT Billing Workflow
| Step | Details |
|---|---|
| Intake & Eligibility | Patient insurance and coverage validation |
| Documentation Review | Ensure that notes support billed CPT codes |
| Claim Generation | Based on verified time-tracked sessions and documentation |
| Submission & Tracking | Submit electronically and monitor payer response |
| Denial Management | Investigate and appeal denied or underpaid claims |
| Monthly Reporting | Clear performance reports on collections, denials, and AR trends |
MyMedicalBillingService.com is a trusted medical billing company managing everything from coding to claims and payment follow-ups. We specialize in resolving billing challenges for practices of all sizes and specialties, letting you focus on exceptional patient care while we handle the complexities of your revenue cycle.
