Occupational Therapy Billing
Occupational Therapists provide different treatments for each patient, and every treatment needs the correct billing code. Using the wrong code or mistakes in billing can cause delays in payment and create problems for healthcare providers.
Simple and accurate billing helps providers get paid on time and saves them from dealing with billing issues. When billing is easy, therapists can spend more time helping their patients and less time on paperwork. This makes their work less stressful and improves care for patients.
Common OT Billing Mistakes
Mistakes with occupational therapy billing can cost your practice money and cause delays in payments. Errors can also affect patient records or lead to audits by insurance companies. Below are common mistakes and simple ways to avoid them.
Small Mistakes
These happen when you get small details wrong. For example, spelling a patient’s name incorrectly, writing the wrong birthday, or putting the wrong insurance number. These mistakes are easy to fix but take a lot of time. Always check the form before sending it.
Sending Forms Twice
Sometimes, the same form is sent two times, which causes a rejection. Make sure only one person in your office sends the billing forms. This will stop confusion.
Missing Information
When the form does not have all the needed details, it will be delayed or rejected. Always include all documents and notes about the treatment. Check that nothing is missing before you send the form.
Common OT ICD-10 Coding Mistakes
Coding mistakes can make billing hard. They can happen when you do not fully understand OT CPT codes. Below are common coding problems and tips to fix them.
Using the Wrong Code for Big Treatment
This is called upcoding. It means using a code for a bigger treatment than what you gave. Sometimes, this happens because of confusion about the rules. To avoid this, read the CPT code meaning in the CPT Code Manual. Remember, upcoding is illegal, so it is very important to get it right.
Using the Wrong Code for Small Treatment
This is called undercoding. It means using a code for smaller treatment than what you gave. Sometimes, people do this by mistake or to save patients money. But undercoding is not honest. Always use the code that matches the real treatment.
Using the Same Code Too Much
There are many CPT codes you can use. If you use the same code all the time, this can cause problems. It might make insurers check your work too closely. Always use the correct code for each service.
Forgetting Telehealth Codes
If you offer telehealth, you need to add a telehealth modifier. Many payers, like Medicare, need you to include the 95 modifier. This shows the service was done online. Check that all telehealth claims have this detail.
By avoiding these coding problems, your billing will improve. Check codes carefully to make sure they match the treatment given.
Services for Occupational Therapy Billing Practices
MZ Billing provides many services to help occupational therapy billing practices. We make billing easier and more accurate. You can rely on us for expedited collections and quality receivables management. Our occupational therapy billing service ensures everything is done correctly so that you get paid on time.
Medical Billing Services
We handle all services necessary for occupational therapy reimbursement. This includes benefits verification processes, pre-authorization of services, and follow-up to ensure payments are on time.
Medical Coding Services
We use the correct occupational therapy billing codes, including ICD-10 Coding and the 97110 CPT Code.
Practice Management Services
Our practice management and financial reports give you better control of your practice. We also offer Free Business Consultation to show you how to improve your billing process.
Denial and A/R Management
If your claims are denied, our billing experts act fast. We resolve denials within 72 hours and make every effort to stop the same problems from happening again.
Revenue Cycle Management (RCM)
Our team improves your income and reduces delays in payments. This helps with increased income and improved cash flow.
Credentialing and contracting
We help you get state licenses and complete credentialing with insurance companies to make sure you get reimbursed for your services smoothly and without delays.
Prior Authorization
We take care of pre-authorizations for Occupational Therapy services, avoiding unnecessary denials or payment delays.
Claim Management and Appeals
From submitting claims to handling appeals, our team proactively manages the entire process.
MZ Billing’s Benefits for Your Occupational Therapy Practice
MZ Billing offers many benefits to help your occupational therapy practice. Our experts know how to handle occupational therapy billing correctly. We make sure to follow all healthcare rules and use the right billing codes. This ensures that your claims are accurate and payments are timely.
MZ Medical Billing Can Work with Any Occupational Therapy Software
Seamless Billing for Occupational Therapists – Focus on Healing, We Handle the Rest
Managing occupational therapy billing can be overwhelming, with insurance claims, coding complexities, and reimbursement delays taking up valuable time. Our expert OT billing services ensure accurate claim submissions, faster reimbursements, and reduced denials, so you can focus on what truly matters—your patients. Whether you’re an independent therapist or a large practice, we streamline your revenue cycle, ensuring a hassle-free billing process.
Get started today with a free consultation and maximize your reimbursements!
FAQS
Frequently Ask Questions.
Our billing services handle claim submissions, coding, insurance verification, and denial management, allowing you to focus on patient care while maximizing your revenue.
Absolutely! Our services are tailored to fit the needs of both solo practitioners and large OT clinics.
Some common CPT codes include 97165-97168 for OT evaluations, 97530 for therapeutic activities, and 97110 for therapeutic exercises.
We verify insurance coverage and benefits for your patients before treatment begins to prevent billing issues down the road.
