Occupational Therapy Billing

Occupational Therapy Billing Services

Evaluation complexity, timed units and plan-of-care requirements billed accurately. Agile Nexus Solutions provides occupational therapy medical billing, coding and revenue cycle management for practices across all 50 states, so your team can focus on patients instead of paperwork.

Common Occupational Therapy billing challenges

• Evaluation complexity levels
• Timed units and therapy modifiers
• Plan-of-care requirements

How we help occupational therapy practices

• Code evaluations by complexity
• Bill timed units with GO and KX modifiers when required
• Track certifications and visit limits

Every claim is checked before submission, sent within 24–48 hours, and followed until it is paid. You get monthly reports on collections, A/R and denials, and a dedicated account manager who knows your specialty.

What is included

• Eligibility and benefits verification
• Certified medical coding (ICD-10, CPT and HCPCS)
• Claim submission and rejection fixes
• Payment posting and reconciliation
• Denial management, appeals and A/R follow-up
• Credentialing and payer enrollment

Frequently asked questions

How are OT evaluations coded?

OT evaluations are coded as low, moderate or high complexity based on the documented history, assessment and clinical decision making.

Do you bill pediatric OT for Medicaid?

Yes. We follow state Medicaid authorization and billing rules for pediatric therapy.

Request a practice audit or book a call to see how much more your occupational therapy practice could collect.