Occupational Therapy Billing Services That Boosts Your Clinic’s Cash Flow
Maximize reimbursements, reduce denials, and streamline your billing process with Quantum’s OT billing experts. We help therapy providers increase collections by 2x.
Quantum's Occupational Therapy RCM Experts
Quantum occupational therapy billing service USA comprises seasoned medical billers and coders ranked #1. Outsourced OT billing solutions help providers in maximizing their revenue from insurance claims without delays and issues. Our medical coders are conversant in the use of latest CPT and HCPCS codes for OT practices and also GO modifier billing rules.
Outsourcing our occupational therapy medical billing company allows your in-house team to focus primarily on patient care without any compromise. Additionally, Quantum’s AHIMA/AAPC certified RCM staff increase collections for OT practices by 2x. As part of an end-to-end comprehensive medical billing and coding suite, we also offer AR clean-up and follow-up, and electronic claims submission (EDI/ERA/835), etc across all states and medical specialties.
Why Specialized OT Billing Matters for Your Practice
Billing for occupational therapy is complex: timed services, modifiers, compliance.
Errors lead to delayed payments, denials, and revenue leakage.
Not understanding nuances of timed vs untimed units (8-minute rule) by new and untrained in-house staff
Lack of understanding related to Medicaid and Medicare OT billing policies and reimbursement process
A specialized OT billing partner like Quantum Health Services helps avoid all of that.
What You Get With Quantum’s OT Billing Services
Accurate CPT/HCPCS Coding (97165, 97530, 97110...)
Modifier Management (GO, 59)
Timed Unit Optimization (8-minute rule compliance)
Medicare & Medicaid Billing Expertise
AR Recovery & Denial Management
Credentialing Support for OT Providers
HIPAA-Compliant Billing Technology
Real-Time Eligibility Checks & EDI Submission
24/7 Payer-specific Denial Management
Why OT Clinics Choose Quantum Health Services
10+ Years of experience in occupational therapy billing
AAPC & AHIMA certified coders on staff
100% US-based client success managers
Trusted by 9,000+ clinics across all 50 states
Almost zero billing errors
2x Faster reimbursement without any deduction
50-70% Reduction in operational costs
100% Focus on patient care and improvement
HIPPA-compliant OT billing services
24/7 Help of virtual medical assistant for patients
Our Results for Occupational Therapy Clinics
97.35% Claim Approval
98.17% Fast Reimbursements
98.44% Payer-Provider-Patient Satisfaction
98.89% Overall Score
24/7 Revenue Monitoring
AI-Driven Performance Metrics
100% Bills Collection
Reliable Denial Management Services
Guaranteed Regulatory Compliance
Prompt Insurance Verification and Eligibility Checks
Out of State Medicaid Billing
24/7 Medical Billers Support
Dedicated Accounts Receivable Management Team
Faster Claim Resubmission and Appeal Filing
Result-centric Credentialing and Provider Enrollment
Automated Patient Statement Generation & Payment Reconciliation
CPT Code Table For Providers
Code
Description
Timed?
97165–97167
OT Evaluation Codes
No
97530
Therapeutic Activities
Yes
97110
Therapeutic Exercise
Yes
97150
Group Therapy
No
Commonly used codes in occupational therapy
CPT Code
Description
Timed?
Avg Medicare Rate (2025)
97165
OT Evaluation – Low Complexity
No
$84.12
97166
OT Evaluation – Moderate Complexity
Yes
$96.75
97167
OT Evaluation – High Complexity
No
$115.34
97530
Therapeutic Activities
Yes
$43.78 per 15-min unit
97535
Self-Care/Home Management Training
No
$41.23 per 15-min unit
97110
Therapeutic Exercise
Yes
$39.46 per 15-min unit
97112
Neuromuscular Reeducation
Yes
$42.89 per 15-min unit
97140
Manual Therapy Techniques
Yes
Varies
97533
Sensory Integration Techniques
Yes
Varies
Talk to an Early Intervention Billing
Specialist Today
FAQs About Our Occupational Therapy Billing Services
What’s the 8-minute rule in occupational therapy?
The 8-minute rule is a Medicare guideline used in occupational therapy (OT) and other outpatient therapy services to determine how many billable units of time-based CPT codes can be charged during a therapy session. For timed CPT codes (like 97110, 97530, etc.), you must provide at least 8 minutes of a specific service to bill one unit. The rule helps convert total treatment time into billable units.
Can I bill OT via telehealth?
Yes, occupational therapy providers can bill for telehealth services they have provided to their patients without any issues or hurdles.
What makes Quantum Health Services different from general billing firms?
Quantum Health Services is USA’s top ranked OT billing and coding services provider across all 50 states. Key differences that make us different are:
➜ 98% First submission pass rate
➜ Increase collections by up to 70%
➜ Reduce operational expenses by 75%
➜ Full-spectrum revenue cycle management services
➜ AHIMA/AAPC certified coding & compliance
➜ AI-powered automation & Analytics
➜ Physician-centric Philosophy
➜ Government & commercial credentialing and billing for OT providers
Get in Touch with us
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At Quantum Health Services, we simplify the process of finding the best medical billing services tailored to your practice. Our platform connects healthcare providers with top-rated billing specialists to ensure efficient revenue cycle management. With seamless inquiry forms and expert support, we help you optimize billing with ease.
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