Occupational Therapy Billing Services
Professional OT Billing and Coding Company that Boosts Your ROI
Advanced Outpatient Occupational Therapy Billing Solutions
Still stuck with manual OT billing operations? That’s probably what keeps you behind your competition. Your occupational therapy revenue cycle management (RCM) workflows need technology, expertise, and strategy. That’s what OT evaluation & treatment billing services give.
Dastify Solutions is the missing piece in your puzzle, giving your practice a 15% revenue boost through accurate unit calculations.
- Robotic process automation
- 500+ AAPC, CPB, AHIMA certified experts
- HIPAA/CMS/OIG compliance
- AI performance dashboards & AI scrubbers
- EDI compliance
- Time-based expertise with airtight documentation
- AI-based denial prediction
- EHR/EMR integration
- Accurate SOAP Note Billing Support
We Work Hard For Your Financial Freedom
Choosing the right occupational therapy billing outsourcing company directly impacts your practice’s performance and profitability. Our AAPC-certified experts work on your claims like hawks to help you achieve the KPIs that you desire.
Occupational Therapy Medical Billing Services That Cut Your Denials to Below 4%
Waiting 45-90 days for payments after submitting claims? Dastify solution occupational therapy practice billing optimization reduces your payment cycles. From charge capture to the last step of medical billing, we keep you fully covered.
- OT insurance verification and prior authorization before treatments.
- Authorizations according to payer requirements.
- Management of 48-unit therapy caps and KX modifier requirements.
- Informing patients about their eligibility benefits, copays, and deductibles.
- Skilled nursing facility (SNF) occupational therapy billing support.
- AAPC-certified coders mastering all ICD-10, CPT, and HCPCS codes.
- OT evaluation & treatment billing services.
- Ensure full compliance with billing requirements for Medicare, Medicaid, and all other payers.
- OTA Modifier Management (CO/CQ): We correctly apply the CO modifier for services furnished by Occupational Therapy Assistants (OTAs) to ensure compliance with the 15% payment differential rules and prevent audit clawbacks.
- Plan of Care (POC) Tracking: We track the 30-day physician signature window for every new Plan of Care. If a signature is missing, our team follows up automatically before the claim is submitted to prevent "Medical Necessity" denials.
- Claim submission under the payer's criteria.
- Timely filing of claims in 24-72 hours.
- Electronic claims submission using the CMS-1500 form.
- Aggressive follow-ups with payers after claim submission.
- Timely OT denial management and appeals.
- Continuous appeals with payer-specific documentation demands and medical necessity documentation.
- AI-based denial prediction to avoid rejections.
- Monitor denial patterns to avoid future rejections.
- Identify and resolve claim denials quickly to avoid aging AR.
- Tracking of outstanding OT receivables efficiently.
- Ensure OT payments are posted correctly for transparent financials.
- Managing old AR up to 120+ days.
Want to improve your MIPS score?
Why Occupational Therapy Specialists Choose Us?
Industry Specialists 500+ AHIMA-certified experts.
Fast turnaround time 65,000 claim submissions within 24 hours.
HIPAA Compliance Fully secure systems with BAA agreements.
Dedicated Support Account manager for your claims.
100% Transparency No long-term contracts, cost-effective OT billing
How We Improve Your Occupational Therapy RCM?
Declining Reimbursement
We optimize your payer mix and ensure every allowable unit is captured.
Complex Evaluation Codes
We audit documentation to distinguish Low (97165) from High (97167) complexity based on patient deficits.
Therapy Cap Limits
We track the KX Modifier threshold ($2,330) and automatically manage medical review exceptions.
Telehealth Confusion
We apply POS 10 (Home) vs. POS 02 (Other) and Modifier 95 correctly for virtual visits.
Stop Under-Billing: Mastering the 8-Minute Rule
Many practices bill 1 unit for 20 minutes of exercise when they could bill 2 units by correctly stacking distinct services. We automate this calculation.
| Total Timed Minutes | Billable Units | Our Workflow |
|---|---|---|
| 8 – 22 mins | 1 Unit | We audit "remainder minutes" to ensure you don't lose units. |
| 23 – 37 mins | 2 Units | We verify that distinct CPTs (e.g., 97110 + 97530) are documented. |
| 38 – 52 mins | 3 Units | We check for NCCI bundling (Modifier 59) between manual therapy and ADLs. |
| 53 – 67 mins | 4 Units | We ensure "Total Treatment Time" matches the sum of individual codes. |
Mastering Every CPT Code to Ensure Compliance
Low Complexity Evaluation
Moderate Complexity
High Complexity Evaluation
Reevaluation
Therapeutic Exercise
Neuromuscular Reeducation
Therapeutic Activities
97535 - Self-Care Training
- ADL/IADL skills, safety, assistive devices
97140 – Manual Therapy
- Mobilization, manipulation, manual traction
Pediatric OT Billing
- Developmental delays (F82), sensory processing disorders
- Early Intervention (EI) & school-based Medicaid documentation
- Parent training billing rules
SNF & Home Health OT Billing
- PDPM OT payment categories
- Medicare Part A vs B rules
- Homebound eligibility & OASIS documentation
Specialized billing for:
- Stroke (I69 series), TBI (S06 series), Spinal Cord Injuries
- ADL/IADL & cognitive interventions (CPT 97129–97130)
- Cognitive Intervention (97129/97130): We ensure you are billing the base code (97129) plus add-on units (97130) for TBI and stroke patients, rather than generic "Therapeutic Activity" codes, which pay less.
Telehealth OT Billing
- 2025 telehealth-approved OT codes
- POS 10 & POS 02 rules
- Modifier 95 & virtual OT treatment compliance
Coordination deficits
Post-stroke deficits
Hemiplegia & paraplegia
Developmental coordination disorder
Frequently Asked Questions
What CPT codes are commonly used for Occupational Therapy billing?
Occupational Therapy commonly uses CPT codes such as 97165–97168 (evaluations), 97530 (therapeutic activities), 97535 (ADL/IADL training), and 97110 (therapeutic exercises). Accurate code selection and time-based billing are essential to avoid denials and underpayments.
