Occupational Therapy Medical Billing Services
Occupational therapy billing depends on accurate time-based unit billing, functional-outcome documentation, and therapy-cap/KX-modifier tracking. CoreStone's occupational-therapy-trained billing team keeps unit, progress-note, and authorization claims clean and on schedule.
Billing That Understands Occupational Therapy
From initial evaluation to ongoing ADL and functional-skills treatment, occupational therapy practices bill on time-based units tied closely to functional-outcome documentation — each with its own therapy-cap, modifier, and progress-note requirements. Our coders and billers are trained specifically on the codes and payer rules unique to occupational therapy.
- CPT coding for evaluation, re-evaluation & timed treatment units
- Therapy-cap tracking and KX-modifier application for Medicare claims
- Functional-outcome (G-code) reporting and goal documentation
- Prior authorization and visit-limit tracking for commercial payers
- Denial review for bundled evaluation and treatment same-day visits
Medical Practices Who Can Use Our Occupational Therapy Billing Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
Occupational Therapy Billing Services We Handle
Every claim type your occupational therapy practice generates, coded and billed by a team that already knows functional rehabilitation.
Evaluation & Treatment Unit Billing
Initial evaluations and timed treatment units billed with the correct 8-minute-rule and modifier accuracy.
Therapy Cap & KX-Modifier Tracking
Medicare therapy-cap thresholds tracked and KX modifiers applied correctly to avoid automatic denials.
Prior Authorization & Visit Limits
Visit-limit tracking and prior authorizations for commercial payers handled before care is interrupted.
Functional Outcome Reporting
Functional-outcome goals and progress documentation reviewed to support every unit billed.
Denial Management
Appeals for medical-necessity and unit-count denials common to occupational therapy claims.
Specialty Credentialing
Payer enrollment and credentialing for occupational therapists and outpatient rehab clinics.
Caring Revenue Cycle Management For Occupational Therapy Practices
Occupational Therapy practices are under constant pressure to raise the standard of care while facing reduced reimbursement, growing regulatory risk, and thinner margins. Maximizing your revenue cycle — billing, coding, and accounts receivable — is essential to keeping up with an increasingly complex payer landscape.
CoreStone is committed to offering the best occupational therapy billing services available, covering nearly every aspect of the billing and patient revenue cycle. We work to secure the fastest possible reimbursement for your practice — the sooner a clean claim goes out, the sooner you get paid. That's why our billing experts are on call around the clock, working while you sleep.
Occupational Therapy Billing: Your Needs, Our Solutions
Occupational Therapy billing isn't one-size-fits-all — practices across the country have different needs when it comes to revenue cycle management. That's why our occupational therapy billing solutions are highly personalized, giving your practice real autonomy over its finances and workflow while we handle the coding, claims, and collections behind the scenes.
Our Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
98%
Clean Claim RatioUp to 30%
Average Revenue IncreaseSpecialty-Trained
Occupational Therapy Coding & Billing TeamHere to Help You
Revenue cycle management is a complex maze of coding, claims, registrations, collections, remittance, and follow-ups — but we can help.
Enhanced Infrastructure
CoreStone has the infrastructure and expertise to avoid the costly troubles that come from regulatory changes and unexpected billing errors.
Higher Competency
Revenue cycle management is one of the biggest challenges healthcare organizations face. We streamline the process with proven technology and experienced medical billing experts.
One-Stop Solution
We're your trusted, one-stop outsourcing partner for every healthcare billing need — medical billing, coding, claims adjudication, credentialing, and more.
Offering Occupational Therapy Billing Services at Affordable Rates
We believe in offering quality Occupational Therapy billing services at reasonable prices, so your practice stays financially stable and healthy.
Starter
Collections under $10,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
Growth
$10,001 – $25,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Established
$25,001 – $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Enterprise
Collections over $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Frequently Asked Questions
Occupational therapy bills on time-based units tied to functional-outcome goals, therapy caps, and KX modifiers — details general billing teams often get wrong.
Yes. We track therapy-cap thresholds and apply KX modifiers correctly so claims above the threshold aren't automatically denied.
Yes. We track visit limits and manage prior authorizations so care isn't interrupted mid-plan of care.
Our coders review functional-outcome goals and progress notes against billed units, so claims hold up if a payer requests records.
Yes. Our billing team plugs directly into the EHR and practice management platform you're already running — no need to switch systems.
Most practices are fully onboarded and submitting claims within 5-10 business days, depending on payer credentialing and EHR access.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.