Revenue cycle management built for OT practices.
Occupational therapy billing shares DNA with PT billing but has its own eval codes, its own modifier, and its own documentation standards. We run both every day, so nothing about OT billing is new to us.
Every OT claim to Medicare needs the GO modifier indicating services under an occupational therapy plan of care. We apply it on every line, every time.
Low, moderate, and high complexity evals pay differently and require documentation to match. We make sure the level billed matches the level documented.
OT has its own Medicare threshold separate from PT/SLP. We track it per patient and apply KX with supporting documentation when patients exceed it.
97535 self-care and home management training is a workhorse OT code that payers love to scrutinize. Our documentation review keeps it defensible.
If you treat children, the payer mix and authorization rules change completely. We handle both adult and pediatric OT billing.
From 97165-97168 evaluations to 97530, 97535, and every treatment code in the OT toolkit, we bill it right the first time.
Free billing review. We look at your last 90 days of claims, find the leaks, and show you exactly what fixing them is worth. No commitment.
Request your free review →Or call (323) 327-2764 · contact@healthflowbilling.com