Billing for occupational therapy is not general billing with a different code set. Timed treatment codes with the same unit-calculation exposure as physical therapy, plus modifiers identifying the discipline.
Therapy caps and combined limits shared with physical therapy mean one discipline can exhaust the other’s benefit.
At a glance
What drives the coding
Timed treatment codes with the same unit-calculation exposure as physical therapy, plus modifiers identifying the discipline.
What drives the payer behavior
Therapy caps and combined limits shared with physical therapy mean one discipline can exhaust the other’s benefit.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where occupational therapy claims actually fail
- Discipline modifier omitted so services were combined
- Combined therapy threshold exceeded
- Plan of care not signed by the referring provider
How we work it
We code from what your record documents and query you when it does not support a code, which in occupational therapy is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current occupational therapy denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Occupational Therapy — Frequently Asked Questions
Do you have coders who know occupational therapy?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — timed treatment codes with the same unit-calculation exposure as physical therapy, plus modifiers identifying the discipline.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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