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Osteopathic Billing Service
Managing osteopathic billing is not just about submitting claims—it’s about understanding the philosophy and practice of osteopathic medicine. Osteopathic physicians (DOs) provide holistic care that includes OMT (Osteopathic Manipulative Treatment) alongside traditional medical approaches. These procedures involve highly specific coding and documentation requirements that, if handled incorrectly, can lead to denials, underpayments, or audits.
Our services are crafted to ensure every OMT session is billed correctly, using the proper modifiers and codes that reflect the full scope of care provided. Whether you operate a single-provider clinic or a large osteopathic group, we scale our solutions to meet your needs.
Why Our Osteopathic Billing Services Stand Out
Our team understands the intricacies of Osteopathic Manipulative Treatment (OMT) billing, ensuring accurate CPT/ICD coding, correct modifier use (like 25 or 59), and payer-specific documentation. This reduces claim rejections and enhances compliance.
💵 Faster Reimbursements
We accelerate the revenue cycle by submitting clean claims daily and tracking payments closely—ensuring your practice gets paid faster with minimal delays from insurance providers.
📉 Reduced Denials
Through proactive error checking, real-time edits, and consistent payer rule monitoring, we minimize denials and follow up swiftly on any rejected or underpaid claims.
📈 Revenue Growth
From correct claim bundling to capturing all billable services, our process ensures you never leave money on the table—resulting in optimized revenue collection.
🔒 Compliance-Focused
We stay current with HIPAA requirements and ever-changing insurance policies, keeping your billing fully compliant and reducing audit risks.
📋 Common Procedures & CPT Codes in Osteopathy
| CPT Code | Description |
|---|---|
| 98925 | OMT, 1–2 body regions |
| 98926 | OMT, 3–4 body regions |
| 98927 | OMT, 5–6 body regions |
| 98928 | OMT, 7–8 body regions |
| 98929 | OMT, 9–10 body regions |
| 99213 | Office/outpatient visit, established patient |
| 99214 | Moderate complexity visit |
| 99441 | Telephone E/M services (5–10 mins) |
Understanding how to pair E/M visits with OMT using appropriate modifiers (like Modifier 25) is critical to ensure payment without duplication issues. We ensure every claim meets payer standards to avoid unnecessary denials.
💡 The Unique Challenges of Osteopathic Billing
🔄 Modifier Confusion
When combining an office visit (E/M) with OMT, payers require Modifier 25 to justify both services. If omitted or misused, it leads to claim rejections. We handle this with precision.
🕒 Time-Based Coding
Some osteopathic procedures are time-based. Our coders accurately document session durations and adjust coding as per Medicare and private insurer policies.
🩺 Manual Therapy Documentation
Insurers often request detailed SOAP notes for OMT procedures. Our team ensures that documentation aligns with payer expectations and supports every billed service.
📑 Insurance-Specific Guidelines
Medicare, Medicaid, and private payers may differ in how they process osteopathic claims. We stay up to date with policy changes so you don’t have to.
🛠️ Our Full-Service Osteopathic Billing Process
Onboarding & Analysis – We assess your practice, identify billing gaps, and propose solutions.
Coding & Documentation Review – We optimize CPT/ICD codes for OMT and associated visits.
Claim Submission – Claims are scrubbed and submitted daily for faster turnarounds.
AR Management – Dedicated team monitors accounts receivable and follows up on aging claims.
Reporting & Analytics – Receive detailed financial performance reports each month.
🔬 What Sets Our Billing Apart?
Expert Knowledge in OMT Reimbursements
We know which procedures qualify under osteopathic care and how to bill them appropriately. Whether you’re offering chronic pain management, joint manipulation, or integrated wellness, we ensure it’s coded for maximum reimbursement.
HIPAA-Compliant Workflow
Your patient data is secure with us. We follow strict HIPAA guidelines, use encrypted systems, and perform regular audits.
Transparent Communication
You’ll have access to real-time dashboards, monthly performance reports, and direct communication with your dedicated billing manager.
🧬 OMT Billing Is Not One-Size-Fits-All
Unlike conventional primary care billing, OMT services vary based on the number of body regions treated and are often delivered alongside evaluation and management (E/M) services. Our team ensures:
Accurate pairing of OMT CPT codes (98925–98929) with E/M codes
Correct use of Modifier 25 to justify additional services
Validation of SOAP notes for compliance and audit defense
We make sure your billing reflects the true complexity of osteopathic treatment, which results in fewer denials and more revenue retained.
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.
