Functional progress needs billable proof.
Occupational therapy claims depend on timed treatment, measurable functional goals, plan-of-care signatures and a record that shows why skilled care is still needed.
- 97%Coding accuracy on audit
- 50+Specialties covered
- 4.9/5Average client rating
Three ways Occupational Therapist claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- Timed units do not match the treatment log
Therapeutic activity, self-care training and neuromuscular work must reconcile to the minutes documented. Small rounding habits can underbill every day or create an audit problem.
- Goals do not support continued skilled care
A note that lists activities without measuring function makes the next visit harder to defend. Payers want progress tied to daily living, work or participation.
- Certification and authorization windows drift apart
A valid plan of care and an active authorization are separate controls. We track both so treatment does not continue into an unpaid gap.
What we bill for Occupational Therapist practices
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How Occupational Therapist accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- An occupational therapist coder, not a general one
The coder assigned to your account works occupational therapist every day. They already know which of your payers do what, and they are watching timed units, functional goal progress, plan-of-care dates and discipline-specific modifiers.
- Charges checked against the note
Before anything goes out, the charge is read against the documentation. A code the note does not support is a recoupment waiting to happen, and in occupational therapist it is usually the highest value code on the claim.
- Eligibility and authorization ahead of the visit
Coverage is confirmed and any approval is in place before the service, not discovered afterwards when the work has already been done.
- Denials worked to cause, not just refiled
Every denial is tagged by payer and reason code. When a pattern shows up in your occupational therapist claims we change the upstream step so it stops recurring.
- Reporting you can act on
Monthly numbers by procedure family and payer, with the one decision they imply, rather than an export nobody opens.
Included for Occupational Therapist practices
- Coders who work occupational therapist daily
- Charge review against documentation
- Eligibility and benefit verification
- Prior authorization management
- Denial management by payer and reason code
- Aged A/R worked oldest first
- Patient statements and balance follow up
- Monthly reporting by procedure family
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Occupational Therapist billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate Occupational Therapist service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat Occupational Therapist practices ask
Do you audit timed units across a full day?
Yes. We reconcile the visit note and units before submission and report recurring documentation gaps by therapist.
Can you track plan-of-care signatures?
Yes. We keep certification dates in the work queue and follow missing signatures before the billing window closes.
Do you bill pediatric and adult occupational therapy?
Yes. The workflow is configured around the payer, place of service, authorization and documentation rules for the population you treat.
Can you work in our therapy EMR?
Usually. We confirm access, exports and claim workflow during the audit before promising a handoff date.
Have an occupational therapist coder read your last ninety days
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.