Occupational Therapy
Billing & Insurance Services
to Maximize Your Collections
Your Full-Service Outsourced
Occupational Therapy Medical Billing Partner
Stop losing 15% revenue to billing errors
Built to support Occupational Therapy practices, our billing services are designed to keep revenue consistent while reducing administrative burden. Claims are submitted accurately, denials are addressed promptly, and payments are actively tracked from submission through final resolution. From payer enrollment and credentialing to denial management, every step is handled with close attention to the documentation, coding, and authorization requirements specific to occupational therapy services.
The result is fewer payment surprises and more time to focus on patient care. Compliance is built into every process, with HIPAA safeguards in place to protect patient data and keep your practice audit-ready. New and growing practices also receive guidance with setup, therapist credentialing, and billing workflows that support long-term stability and growth.
What Makes Our Occupational Therapy Billing Solutions Different?
Operant Billing Solutions brings deep experience supporting therapy-based practices across multiple disciplines, including occupational therapy. Our team understands how OT services are billed independently or alongside speech therapy, physical therapy, and ABA, and how payer requirements can vary by setting, diagnosis, and treatment plan. We stay current with evolving occupational therapy billing guidelines so your practice remains compliant, properly reimbursed, and positioned to scale with confidence.
Most importantly you will ​​​never​​​​ be just a number, a dedicated biller will know you by name, and you’ll always have a direct line to speak with them.​​ ​​
OT RCM Done Right The First Time
OT Therapy Providers Love Us
Built to Support OT Practices at Every Stage of Growth
Passionate – Dedicated – Professional – Knowledgeable
the approach we follow
OT Billing Policy Expertise
With more than 20 years supporting therapy-based practices, our team understands the coding rules, documentation standards, and payer requirements that directly affect occupational therapy reimbursement. That experience helps reduce errors, prevent denials, and support consistent revenue.
Our Steps To Your Success
01.
Welcome Package
02.
Credentialing & Contracting
03.
Eligibility & Benefits
04.
Pre-Authorization
05.
Claims Management
06.
Remittance Posting
07.
Accounts Receivable Follow-up
08.
Appeals Management
09.
Patient Billing
10.
Tracking & Forecasting
Our OT Billing services include:
Get Help With The Best Managed OT Billing Services
Occupational Therapists play a vital role in helping patients build independence, improve daily functioning, and achieve meaningful outcomes across home, school, and clinical settings. Their focus belongs on evaluation, individualized treatment planning, progress tracking, and hands-on therapeutic care. That work also requires close collaboration with families, caregivers, physicians, and other providers, along with accurate documentation and compliant clinical environments that support both patients and staff.
Too often, that focus is interrupted by administrative demands. Insurance billing, payer follow-up, and revenue management can divert time and energy away from patient care and place unnecessary strain on internal teams.
Operant Billing Solutions provides the expertise and structure to remove that burden. Our experienced billing professionals manage the full revenue cycle with accuracy and consistency, allowing occupational therapy practices to operate more efficiently and grow with confidence. From claims submission through payment resolution, every step is handled with careful attention to OT-specific coding, documentation, and payer requirements.
This is not a one-size-fits-all billing service. Our team takes a hands-on, proactive approach to reduce errors, limit denials, and support timely reimbursement. The result is a billing process that runs smoothly in the background while your practice stays focused on care delivery, growth, and long-term stability.
Common Occupational Therapy Billing Codes
Occupational therapy billing requires precise CPT coding, accurate documentation, and alignment with payer-specific rules. Correct use of these codes is essential for reimbursement, compliance, and authorization management.
Evaluation Services
- 97165 – Low complexity occupational therapy evaluation
- 97166 – Moderate complexity occupational therapy evaluation
- 97167 – High complexity occupational therapy evaluation
- 97168 – Re-evaluation of occupational therapy plan of care
Therapeutic Interventions
- 97110 – Therapeutic exercises to improve strength, range of motion, or endurance
- 97530 – Therapeutic activities focused on functional performance
- 97535 – Self-care and home management training
- 97112 – Neuromuscular reeducation
Manual & Sensory Techniques
- 97140 – Manual therapy techniques
- 97533 – Sensory integration techniques (payer-specific)
- Group & Supervised Services
- 97150 – Group therapy services
- 97014 / G0283 – Electrical stimulation (payer-specific coverage)
Modifiers & Compliance Indicators
- GO Modifier – Identifies services delivered under an occupational therapy plan of care
- GP / GN Modifiers – Used in multidisciplinary therapy settings when applicable
Each service must align with time-based units, plan-of-care requirements, provider credentials, and payer guidelines to avoid denials and underpayment.
Common OT Billing Errors We Help Prevent
- Incorrect evaluation complexity selection (97165–97167)
- Missing or expired plans of care and physician signatures
- Improper time-based unit calculation and rounding
- Using non-covered sensory integration codes without payer approval
- Modifier errors (GO, GP, GN) in multidisciplinary settings
- Billing services outside authorization limits
- Incomplete documentation that does not support medical necessity
- Missed re-evaluation requirements leading to denials
By addressing these issues early, we reduce denials, protect reimbursement, and keep billing compliant as payer requirements change.
Our OT Insurance Billing services critical components:
Trusted By OT Practices Nationwide
Do You Know How Much Money Is Really Owed To You?
We address billing issues quickly and thoroughly. Our experienced medical billing professionals manage occupational therapy revenue with accuracy and consistency, helping practices maintain a reliable cash flow. With billing handled properly, you can stay focused on patient care, caregiver education, and growing your services without added administrative strain. Behind the scenes, we identify issues early, reduce denials, and actively pursue the reimbursement your practice has earned.