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Occupational Therapy Billing Services

Professional OT Billing and Coding Company that Boosts Your ROI

You enhance your patients’ quality of life, but does your billing have the same high standard? You need professional occupational therapy medical billing services that understand the uniqueness of your specialty and craft a tailored solution that fits your needs, such as Dastify Solutions. Our advanced technology-driven approach has already benefited thousands of OT therapists. And now it’s your turn!
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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.

Reduction in Billing Errors
99 %
Reduction in AR
40 %
First Pass Clean Claims Rate
98.5 %+
Revenue Increase
Up to 20 %
Denial Rate
≤ 4 %
Turnaround Time
7- 14 Days
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.
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Why Occupational Therapy Specialists Choose Us?

Our team holds recognized certifications and memberships from leading professional organizations, including AAPC, AHIMA, AOTA, and HFMA, demonstrating our expertise in occupational therapy, medical coding, and healthcare management.

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

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How We Improve Your Occupational Therapy RCM?

OT Challenge
Our Solution

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.
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Mastering Every CPT Code to Ensure Compliance
97165

Low Complexity Evaluation

30 minutes  ·  1–3 performance deficits
97166

Moderate Complexity

45 minutes  ·  3–5 performance deficits
97167

High Complexity Evaluation

60 minutes  ·  5+ performance deficits
97168

Reevaluation

Periodic reassessment  ·  Progress benchmarking
97110

Therapeutic Exercise

Strength · ROM · Endurance · Flexibility
97112

Neuromuscular Reeducation

Balance · Coordination · Proprioception
97530

Therapeutic Activities

Dynamic functional improvement

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
R27.8

 Coordination deficits

M62.81
Muscle weakness
I69.xxx

Post-stroke deficits

G81/G82

Hemiplegia & paraplegia

S06.xxx
TBI injuries
M54.xxx
Back pain
G80.xxx
Cerebral palsy
F82

Developmental coordination disorder

R29.xxx
Functional mobility impairment

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.

OT claims are often denied due to incorrect modifiers (GP, 59), time-based coding errors (8-minute rule), missing prior authorizations, or insufficient documentation for medical necessity. A specialized OT billing service helps prevent these issues before claims are submitted.
Outsourcing OT billing ensures clean claim submission, payer-specific compliance, faster AR follow-ups, and reduced denial rates, resulting in shorter payment cycles and improved cash flow for OT practices.