rcm solutions Occupational Therapy facilities

Medical Billing And Revenue Cycle Management Solutions For Occupational Therapy Practices

Occupational therapists help individuals regain independence and live as comfortably as possible by addressing physical, emotional, and social challenges that affect daily activities. At Stafgo Health, we provide specialized medical billing and revenue cycle management (RCM) services for occupational therapy (OT) practices and rehabilitation facilities. Our team has a comprehensive understanding of billing requirements, document standards and requirements, and payer guidelines that occupational therapists encounter daily. We can help you to streamline your revenue cycle so that your practice can focus on financial growth rather than other affecting factors.

Optimizing Occupational Therapy Billing With Accurate CPT Code Management With Stafgo Health

Effective CPT code management is important for maximizing reimbursements for occupational therapy practices. At StafGo Health, our coders specialize in accurate CPT code and modifiers applications such as 97110 for therapeutic exercises, 97530 for therapeutic activities, 97535 for self-care and home management training (ADLs), 97112 for neuromuscular re-education, and 97165–97168 for evaluation and re-evaluation codes.

Why Outsource Medical Billing And RCM To Stafgo Health For Your Occupational Therapy Practice?

Outsourcing medical billing and revenue cycle management (RCM) to StafGo Health provides you with industry-specific, complex coding and documentation Requirements experts who have comprehensive knowledge of all aspects of billing and RCM services and who can boost your financial performance remarkably. We can provide you the access to specialized expertise, advanced technology, and dedicated support—all designed to maximize your revenue and streamline operations to enhance your financial growth.

Common RCM Challenges Faced by Occupational Therapy Practices

Occupational therapy (OT) practices face a number of revenue cycle management (RCM) challenges due to a large number of frequent patient visits, time-based billing, and evolving payer policies.

Confusion Around Timed vs. Untimed CPT Codes - Mistakes in properly billing timed codes like 97110 (therapeutic exercises) and 97530 (therapeutic activities) frequently lead to denied or underpaid claims. There should be accurate time tracking and correct unit calculation.
Incomplete or Non-Compliant Documentation - Proving medical necessity and specific documentation of service duration are some prevalent challenges of medical billing. Missing information in daily notes can trigger denials or audit risks.
Frequent Insurance Changes and Authorization Requirements- Analyzing different insurance rules, therapy caps, and obtaining timely prior authorizations are also common challenges faced by practices. Delays in getting authorization can directly impact revenue.
Denials Due to Exceeding Therapy Thresholds - Occupational therapy is subject to Medicare and commercial payer thresholds. If care is not taken in tracking, then the claim can be denied once patients reach those limits.
Patient Responsibility and Payment Collection Issues - High deductibles and co-pays make patient collections quite difficult. The problem of improper communication and follow-up affects effective billing.
Inadequate In-House Billing Expertise - Most in-house teams do not have the proper knowledge of coding and modifier requirements for OT services, which leads to recurring errors and lost revenue.

Solving Your Occupational Therapy Practice's Challenges with StafGo Health

Expert OT Coding & Documentation Support - Our certified medical coders help your practice handle complex billing codes accurately, including all the codes that are based on time, in turn making sure proper documentation and compliance.

Streamlined Prior Authorization & Eligibility Checks - Our team of skilled people manages the entire pre-authorization process and verifies insurance benefits in advance so that it reduces the chances of denials and also prevents treatment delays.
Denial Management with Root Cause Analysis - Our team doesn’t just fix denied claims but also investigates and corrects the root cause of issues behind them. Our data-driven approach prevents recurring denials and promotes financial growth.
Accelerated A/R Recovery and Clean Claims - Our team makes efforts to minimize accounts receivable through timely claim submissions, doing real-time follow-ups, and aggressive appeals, which can help your practice to get paid smoothly.
Transparent Reporting & Financial Oversight - You will have a keen insight into denial trends, collections, and A/R aging with complete transparency with our custom dashboards and performance reports, which give you an idea about where your revenue stands.
Improved Patient Billing and Collections - Our team offers you a clear statement, multiple payment options, and responsive support, which enhances patient satisfaction by providing patient-friendly billing systems.