21+
Years of Experience
98%
Claim Submission Accuracy
25%
Decrease in Outstanding AR
Reliable Occupational Therapy Billing and Coding Services
Occupational therapy (OT) interventions include a wide range of activities tailored to meet individual patient needs, making it challenging to accurately code and bill each service provided. This is where occupational therapy medical billing and coding becomes essential, as precision in the claim submission workflow ensures that healthcare providers receive timely and rightful reimbursements for the services rendered.
Managing diverse cases and reporting requirements add complexity, emphasizing the need for specialized expertise in the revenue cycle management process. We have the resources, technology and extensive expertise necessary to ensure clean claim submission for maximum reimbursement. To further support accuracy in reporting time-based services, functional assessments, and multi-component OT sessions, our team uses MedGenX, OSI’s automated medical coding software to identify key documentation elements and reinforce correct code selection.
We provide customized solutions for individual occupational therapists, group practices, clinics, occupational health centers, psychiatric clinics, home care services and hospitals.
Professional Occupational Medicine Billing and Coding Solutions
Medical Billing
We serve all specialty areas in occupational therapy including pediatric rehabilitation, hand rehabilitation, and neurological rehabilitation. Our fully integrated solutions can optimize your financial workflow.
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Medical Coding
Our dedicated team of certified coders brings unparalleled expertise to the table, navigating the complexities of diverse codes with precision. They’re up to date with ICD, CPT, DRG/ICD-10 validation, and HCPCS codes, aided by AI prompts for functional assessment reporting.
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Adhering strictly to the guidelines set forth by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS), we maintain compliance with all relevant HIPAA regulations and security protocols to safeguard patient information and confidentiality throughout the coding process.
Why Choose OSI?
We are committed to maintaining regulatory compliance, keeping up to date with changes in healthcare regulations to ensure that our clients’ revenue processes align with industry standards. Our team has specialized knowledge and experience in occupational therapy coding, and a thorough understanding of industry-specific nuances, thereby ensuring accurate billing.
- Expertise in occupational therapy coding and reimbursement
- Tailored approach to optimize reimbursement
- Dedicated team of claims management professionals
- Technology integration
- Automated OT code checks
- HIPAA-compliant services
- No long-term yearly contracts
- Regular QA checking with readily available reports
- Full work support from U.S. and offshore locations
- 30 to 40% cost savings
We serve all 50 states
Our Occupational Therapy Medical Billing Process
Our medical billing process is thorough, accurate, and efficient, aiming to optimize revenue and provide a seamless financial experience for both healthcare providers and patients. Here are the steps involved.
1
Patient Scheduling
Payment Posting
4
2
Eligibility Verification
AR Follow-up
5
3
Medical Coding
Denial Management
6
1
Patient Scheduling
2
Eligibility Verification
3
Medical Coding
4
Payment Posting
5
AR Follow-up
6
Denial Management
Benefits of Accurate Occupational Therapy Billing and Coding
- Expertise in coding
- Enhanced revenue
- Regulatory compliance
- More time for patient care
- Reduced claim denials
- Streamlined billing processes
Affordable & Flexible Pricing Plans
With our transparent pricing and customizable packages, you can optimize your medical billing and coding process without breaking the bank.
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FTE/Per Verification Billing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.
AR is only FTE
In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.
FAQs
Can your services adapt to changes in OT coding requirements and regulations?
Yes, we stay updated with industry changes, ensuring compliance with the latest medical codes and regulations. This adaptability guarantees that your billing processes align with the most current standards. We also use automated prompts that alert our team when new coding updates impact time-based OT services or functional reporting.
How transparent is your communication regarding billing performance and financial updates?
We value transparent communication. We provide regular reports on billing performance, financial insights, and updates on any issues or improvements. Our goal is to keep our clients informed and confident about the financial health of their occupational medicine practice.
What role does technology play in financial operations?
Technology is integral to our services. OSI utilizes advanced billing software to streamline processes, enhance accuracy, and adapt to evolving industry standards. Our technological infrastructure ensures efficient and up-to-date revenue cycle solutions for our clients. AI-supported review adds another layer of clarity when evaluating multi-component OT sessions.
What types of insurance do you work with for OT billing?
Our billing and coding experts have experience working with various insurance plans, including private insurance, Medicare, Medicaid, workers’ compensation, and third-party payers. We ensure accurate claim submission and follow-up to maximize reimbursement from all eligible insurance sources.
How do you handle denials and claim rejections?
Denials and claim rejections can be frustrating and time-consuming for practices. Our team conducts thorough reviews of denied claims to identify the root causes for the denial and take appropriate action for resubmission. We work carefully to appeal denials and resolve issues promptly to minimize revenue loss.
How do you ensure compliance with HIPAA regulations?
Protecting patient information is a top priority for us. We adhere to HIPAA regulations and have in place robust security measures to safeguard sensitive data throughout the billing and coding process. Our team undergoes regular training on privacy and security best practices to ensure compliance with all applicable laws and regulations.
Can AI help organize complex OT session notes?
Yes. Automated analysis helps break down multi-component OT encounters, flagging missing elements related to therapeutic activities, ADL training, or functional assessments, which support more accurate code selection.
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