Occupational Therapy Billing Services That Boost Your Clinic’s Cash Flow
Medheave Occupational Therapy RCM Experts
Medheave occupational therapy billing service USA comprises seasoned medical billers and coders ranked #1. Outsourced OT billing solutions help providers in maximizing their revenue from insurance claims without delays and issues. Our medical coders are conversant in the use of latest CPT and HCPCS codes for OT practices and also GO modifier billing rules.
Outsourcing our occupational therapy medical billing company allows your in-house team to focus primarily on patient care without any compromise. Additionally, Medheave’s AHIMA/AAPC certified RCM staff increase collections for OT practices by 2x. As part of an end-to-end comprehensive medical billing and coding suite, we also offer AR clean-up and follow-up, and electronic claims submission (EDI/ERA/835), etc across all states and medical specialties.
Why Specialized OT Billing Matters for Your Practice
- Billing for occupational therapy is complex: timed services, modifiers, compliance.
- Errors lead to delayed payments, denials, and revenue leakage.
- Not understanding nuances of timed vs untimed units (8-minute rule) by new and untrained in-house staff
- Lack of understanding related to Medicaid and Medicare OT billing policies and reimbursement process
- A specialized OT billing partner like Medheave helps avoid all of that.
What You Get With Medheave’s OT Billing Services
- Accurate CPT/HCPCS Coding (97165, 97530, 97110...)
- Modifier Management (GO, 59)
- Timed Unit Optimization (8-minute rule compliance)
- Medicare & Medicaid Billing Expertise
- AR Recovery & Denial Management
- Credentialing Support for OT Providers
- HIPAA-Compliant Billing Technology
- Real-Time Eligibility Checks & EDI Submission
- 24/7 Payer-specific Denial Management
Our Step-by-Step Billing Process for OT Clinics
Patient Intake & Eligibility Verification
The first step of our best billing service for OT clinics starts with adding key information pertaining to patients and thoroughly checking insurance eligibility verifications.
CPT/HCPCS Coding by Certified OT Coders
The second step to ensure therapy documentation compliance is adding valid and accurate CPT/HCPCS and ICD-10 codes based on services provided by OT therapists.
Claims Submission (EDI / Portal Based)
The next step involves submitting electronic claims on time to insurance companies in payer-specific format so it can be expedited without any delay or issues.
Payment Posting & ERA Matching
Timely payment and reconciliation ensures reimbursement accurately equates to medical care provided to patients to strengthen your practice’s financial bottom-line and lower the operational costs.
Denial Handling + Appeals
Medheave’s RCM for occupational therapy providers effectively manage the claim denials. Dedicated account managers thoroughly investigate each case and file appeals within 24-hours to payers.
Monthly Reporting & Compliance Audits
Our occupational therapy billing services help you keep performing at best and offer valuable insights about your practice. Additionally, regular compliance audits help in achieving conformance goals.
Our Results for Occupational Therapy Clinics
- 97.35% Claim Approval
- 98.17% Fast Reimbursements
- 98.44% Payer-Provider-Patient Satisfaction
- 98.89% Overall Score
- 24/7 Revenue Monitoring
- Ai-Driven Performance Metrics
- 100% Bills Collection
- Reliable Denial Management Services
- Guaranteed Regulatory Compliance
- Prompt Insurance Verification and Eligibility Checks
- Out of State Medicaid Billing
- 24/7 Medical Billers Support
- Dedicated Accounts Receivable Management Team
- Faster Claim Resubmission and Appeal Filing
- Result-centric Credentialing and Provider Enrollment
- Automated Patient Statement Generation & Payment Reconciliation
Why OT Clinics Choose Medheave
- 10+ Years of experience in occupational therapy billing
- AAPC & AHIMA certified coders on staff
- 100% US-based client success managers
- Trusted by 9,000+ clinics across all 50 states
- Almost zero billing errors
- 2x Faster reimbursement without any deduction
- 50-70% Reduction in operational costs
- 100% Focus on patient care and improvement
- HIPPA-compliant OT billing services
- 24/7 Help of virtual medical assistant for patients
CPT Code Table For Providers
| Code | Description | Timed? |
|---|---|---|
| 97165–97167 | OT Evaluation Codes | No |
| 97530 | Therapeutic Activities | Yes |
| 97110 | Therapeutic Exercise | Yes |
| 97150 | Group Therapy | No |
Talk to a Billing Expert or Book Your Free OT Billing Audit Today
Get paid faster and have almost zero denials by hiring our occupational therapy billing services in USA. We help you increase claim reimbursement to 100% without unfair deductions or penalties.
Frequently Asked Questions (FAQs)
What codes are most commonly used in OT billing?
| CPT Code | Description | Timed? | Avg Medicare Rate (2025) |
|---|---|---|---|
| 97165 | OT Evaluation – Low Complexity | No | $84.12 |
| 97166 | OT Evaluation – Moderate Complexity | Yes | $96.75 |
| 97167 | OT Evaluation – High Complexity | No | $115.34 |
| 97530 | Therapeutic Activities | Yes | $43.78 per 15-min unit |
| 97535 | Self-Care/Home Management Training | No | $41.23 per 15-min unit |
| 97110 | Therapeutic Exercise | Yes | $39.46 per 15-min unit |
| 97112 | Neuromuscular Reeducation | Yes | $42.89 per 15-min unit |
| 97140 | Manual Therapy Techniques | Yes | Varies |
| 97533 | Sensory Integration Techniques | Yes | Varies |
What’s the 8-minute rule in occupational therapy?
Can I bill OT via telehealth?
What makes Medheave different from general billing firms?
Medheave is USA’s top ranked OT billing and coding services provider across all 50 states. Key differences that make us different are:
- 98% First submission pass rate
- Increase collections by up to 70%
- Reduce operational expenses by 75%
- Full-spectrum revenue cycle management services
- AHIMA/AAPC certified coding & compliance
- AI-powered automation & Analytics
- Physician-centric Philosophy
- Government & commercial credentialing and billing for OT providers
