Occupational Therapy Medical Billing & Credentialing Services

Specialized Billing, Credentialing & RCM for Independent OTs and Rehab Clinics

Occupational Therapists (OTs) play a vital role in helping patients regain independence, improve daily function, and return to work or home life following injury, illness, or disability. But despite their clinical value, OT practices often face massive administrative challenges when it comes to insurance billing, documentation, payer enrollment, and timely reimbursement.

At Oakview Medical Billing Solutions, we offer complete revenue cycle management, insurance credentialing, and clean claim submission tailored specifically for Occupational Therapy providers — whether you're part of a multidisciplinary rehab clinic or running your own mobile OT practice.

Why OT Billing Is More Complex Than It Looks

Occupational therapy billing requires deep knowledge of time-based codes, modifier usage, documentation compliance, and payer-specific rules:

Timed units based on 15-minute increments under the 8-minute rule
Modifier use (e.g., -59, -GP, -KX) to separate bundled procedures
Therapy cap tracking and medical necessity documentation
Payer confusion between OT and PT services billed together
Claim denials due to invalid place-of-service or missing authorization
ICD-10 coding accuracy for treatment plans and therapy goals

Oakview’s certified coders and billing specialists are experts in OT documentation standards and insurance compliance, ensuring your claims are approved and reimbursed quickly.

Our Occupational Therapy Billing Services Include:

Time-based CPT code usage based on units provided
Modifiers for services rendered by OTs (-GP) and documentation of plan of care
KX modifier use for Medicare threshold exceptions
Billing setup for mobile, school-based, or telehealth OT services
Prior authorization and eligibility verification
Denial management and appeal preparation
Daily and monthly reporting with CPT and payer analytics

Credentialing Services for Occupational Therapists

Credentialing is often the first barrier to launching an OT practice — and Oakview makes it seamless. We handle:

CAQH profile setup and updates
NPI registration (Type 1 & 2 for groups)
Credentialing with Medicare, Medicaid, and commercial payers
EHR and therapy software platform integration
State-specific board verification and taxonomy classification
Revalidations and payer directory listings
Credentialing for school contracts, home health, and early intervention programs

Whether you’re credentialing as an individual OT or setting up a group therapy clinic, we make sure you’re panel-ready fast.

Common CPT Codes in Occupational Therapy Billing

Who We Work With

We proudly support all types of OT providers, including:

Independent OTs in private practice
Group therapy and rehab clinics
Pediatric and sensory integration specialists
Geriatric and post-surgical OTs
School-based occupational therapists
Mobile or home health OT providers
Neuro OT and orthopedic specialists

Why OTs Choose Oakview Medical Billing Solutions

98% clean claim rate across Medicare, Medicaid, and commercial insurers
Faster credentialing — get enrolled, contracted, and billing in weeks
Real-time pre-authorization tracking and benefit checks
HIPAA-compliant billing tools and EHR integrations
Transparent, flat-fee pricing — no hidden costs
Friendly, U.S.-based account managers and coders
Fully customized workflows for solo or multi-provider practices

Ready to Focus on Function, Not Finances?

Let Oakview take the administrative burden off your shoulders. We’ll get you credentialed, keep your claims clean, and ensure every service is reimbursed — on time, every time.

📞 Book your free consultation today and discover how we can support your OT practice with precision and care.