Occupational Therapy Medical Billing Services
It can be difficult and time-consuming to manage medical billing for occupational health treatments. From filing claims to monitoring payments, we take care of every part of your billing process to make sure you get paid on time. By taking care of these tasks, we help you avoid errors, reduce delays, and concentrate more
on providing quality care to your patients.
With our service, you can expect accurate coding, proper claim submission, and faster reimbursements. We work directly with insurance companies and employers to resolve any issues quickly, so you can get back to what matters most your patients’ health.
Benefits of Our Occupational Therapy Medical Billing Services
Accurate Claim Processing
All the claims are prepared and submitted either electronically or manually. Our team of experts manages claims carefully. Our latest software pinpoints possible errors in the claim reducing the chances of claim denials.
Detailed Billing Reports
We provide monthly billing statements and detailed reports of the billing cycle by regularly checking billing and coding data to maximize income and guarantee that services are according to industry laws. Our performance tracking helps identify revenue-generating services and monitor your practice's financial health.
Improved Cash Flow
Our certified coders provide accurate coding. Proper coding and documentation guarantee that all services are billed correctly, decreasing revenue losses. We also follow up on aging claims to maintain the financial stability of your practice.
Data Security
Your data protection is our main priority. All of our services are in line with HIPAA regulations. We provide complete backup systems to guarantee that your practice's financial and patient data remains protected even during unexpected disturbances.
More Time For Practice
Outsourcing billing tasks gives you more time for patient care and professional growth. Fewer billing issues keep your clinical schedule predictable, improving work-life balance. This allows you to concentrate on your practice rather than financial concerns.
What Do We Manage In Occupational Therapy Billing?
At Claims4Medical billing company, we specialize in processing claims for occupational therapy treatments. Below are the most common conditions we see in OT billing, along with relevant coding information to maximize your reimbursement.
Stroke (Cerebrovascular Accident)
We provide proper coding for documentation of functional impairments when submitting stroke rehabilitation claims. Our team codes for the specific effects of stroke rather than just the general diagnosis to justify ongoing therapy. We carefully monitor therapy cap thresholds and apply KX modifiers when needed for Medicare patients receiving extended services.
Traumatic Brain Injury (TBI)
Our billing specialists understand the difficulties of TBI treatment plans, which often require multiple service codes in a single session. We alert you when documentation is insufficient for a particular code and suggest specific additions that would strengthen the claim. Our team manages the extended authorization processes often needed for long-term TBI rehabilitation.
Rheumatoid Arthritis
Our company covers the complex billing requirements for pain relief, rehabilitation devices, and therapeutic splinting- all of which are frequently used in the treatment of arthritis. We help to differentiate between acute flare-up treatments versus ongoing management in your records providing your practice the financial stability it deserves.
Autism Spectrum Disorder
We manage the various insurance coverage guidelines for occupational therapy connected to autism among various payers. To meet the requirements for medical necessity, our team helps in documenting sensory processing therapies with distinct functional effects. We manage the authorization renewal process critical for ongoing pediatric therapy services.
Multiple Sclerosis
Our billing specialists code for the episodic nature of MS treatment, helping you document both relapse-related therapy and maintenance interventions. We monitor therapy utilization to manage cap limitations while providing continued necessary care. Our team applies appropriate fatigue management and energy conservation codes often overlooked in MS billing.
Common Codes Used For Occupational Therapy Billing
Our medical billing process consists of the following steps:
| Condition | Common ICD-10 Codes | Typical CPT Codes |
|---|---|---|
| Stroke | I63.9 (Cerebral infarction) I69.351 (Hemiplegia following stroke) | 97110 (Therapeutic exercise) 97535 (Self-care training) |
| Traumatic Brain Injury | S06.2X9D (Traumatic brain injury) F07.81 (Frontal lobe syndrome) | 97129 (Cognitive function treatment) |
| Rheumatoid Arthritis | M06.9 (Rheumatoid arthritis) M06.341 (RA of hand) | 97760 (Orthotic management) 97110 (Therapeutic exercise) |
| Autism | F84.0 (Autism spectrum disorder) | 97533 (Sensory integration) 97530 (Therapeutic activities) |
| Multiple Sclerosis | G35 (Multiple sclerosis) | 97112 (Neuromuscular reeducation) 97535 (Self-care training) |
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Frequently Asked Questions
How Do You Manage Denied Claims?
We carefully review denied claims, identify the reason for rejection, and make corrections or provide additional documentation. Our team then resubmits the claims to maximize reimbursement.
Do You Work with All Insurance Providers?
Yes, we work with a wide range of insurance companies, including Medicare, Medicaid, and private insurers. We also manage claims for workers’ compensation and employer-sponsored plans.
What Is the Process for Starting the Use of Your Services?
Initiating the process is relatively easy! Contact us for a free consultation so we can guide you with our services today.
What Types of Occupational Therapy Practices Do You Support?
We help individual therapists, group practices, rehabilitation centers, and hospital-based OT services with their medical billing needs.
How Do You Provide Compliance with Billing Regulations?
Our team stays up to date with the latest coding and billing regulations, including HIPAA and insurance requirements. We guarantee that all documentation meets compliance standards to decrease the risk of claim denials.
